超声鉴别诊断在慢性肉芽肿性乳腺炎与乳腺癌患者中的应用价值

摘要
图/表
参考文献(15)
相关文章 (15)

全文: PDF (0 KB) HTML (34 KB)
输出: BibTeX | EndNote (RIS)

摘要目的探讨超声鉴别诊断在慢性肉芽肿性乳腺炎与乳腺癌患者中的应用价值。方法选取2018年10月～2020年5月大连市中医医院收治的102例慢性肉芽肿性乳腺炎患者作为炎症组，另外选取同时期大连市中医医院收治的102例乳腺癌患者作为癌症组。患者均为女性，全部患者均进行超声诊断。比较两组患者的超声图像特点和血流情况。结果癌症组的形态不规则率、边缘毛刺率和后方回声衰减率以及微小钙化率均高于炎症组，差异有统计学意义（P＜0.05）；癌症组血流分级Ⅱ～Ⅲ级、分流血流的阻力指数（RI）≥0.7以及颈动脉收缩期最大流速（PSV）≥30 cm/s的占比高于炎症组，差异有统计学意义（P＜0.05）。结论可以依据超声的图像特征，来鉴别诊断慢性肉芽肿性乳腺炎、乳腺癌两种疾病之间的差异，同时机体病灶处的RI指数、PVS值等血流分布情况也可以在超声影像中显现出来，为临床诊断、治疗提供具有价值的参考依据，值得推广应用。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	李娜

关键词 ：超声, 鉴别诊断, 慢性肉芽肿性乳腺炎, 乳腺癌, 应用价值

Abstract：Objective To explore the application value of ultrasound differential diagnosis in patients with chronic granulomatous mastitis and breast cancer.Methods A total of 102 patients with chronic granulomatous mastitis admitted to Dalian Hospital of Traditional Chinese Medicine from October 2018 to May 2020 were selected as the inflammatory group,and another 102 patients with breast cancer admitted to Dalian Hospital of Traditional Chinese Medicine during the same period were selected as the cancer group,all of whom were female.All patients were diagnosed by ultrasound,and the ultrasound image characteristics and blood flow were compared between the two groups.Results The morphological irregularity rate,marginal burr rate,posterior echo attenuation rate and microcalcification rate in the cancer group were higher than those in the inflammatory group,with statistically significant differences(P＜0.05).In the cancer group,the proportions of blood stream classⅡ-Ⅲ,shunt blood flow resistance index(RI)≥0.7 and carotid artery peak systolic flow rate(PSV)≥30 cm/s in the cancer group were higher than those in the inflammatory group,with statistically significant differences(P＜0.05).Conclusion The difference between chronic granulomatous mastitis and breast cancer can be distinguished according to the image characteristics of ultrasound.The RI index,PVS value and other blood flow distribution at the lesions of the body can also be shown in the ultrasound images.Ultrasound provides valuable reference basis for clinical diagnosis and treatment,which is worthy of popularization and application.

Key words： Ultrasound Differential diagnosis Chronic granulomatous mastitis Breast cancer Application value

作者简介: 李娜（1979-），汉族，女，辽宁大连人，本科，主治医师，研究方向：超声诊断

引用本文:

李娜. 超声鉴别诊断在慢性肉芽肿性乳腺炎与乳腺癌患者中的应用价值[J]. 中国当代医药, 2021, 28(14): 151-154.
LI Na. Application value of ultrasound differential diagnosis in patients with chronic granulomatous mastitis and breast cancer. 中国当代医药, 2021, 28(14): 151-154.

链接本文:

http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2021/V28/I14/151

[1]	徐子杭，姜珏，贾琬莹，等.超声造影对肉芽肿性小叶性乳腺炎和乳腺癌的鉴别诊断价值[J].中国超声医学杂志，2020，36（5）：402-404.
[2]	张慧，钱林学，刘红艳.智能乳腺全容积超声鉴别诊断肉芽肿性乳腺炎与浸润性导管癌[J].中国医学影像技术，2019，35（8）：1210-1213.
[3]	Laurent E，Begueret H，Bonhomme B，et al.SOX10，GATA3，GCDFP15，Androgen Receptor，and Mammaglobin for the Differential Diagnosis Between Triple-negative Breast Cancer and TTF1-negative Lung Adenocarcinoma[J].Am J Surg Pathol，2019，43（3）：293-302.
[4]	姚春，陈林丽，李艳萍，等.超声影像学检查在肉芽肿性乳腺炎和浸润性导管癌鉴别诊断中的价值[J].中华肿瘤杂志，2018，40（3）：222-226.
[5]	刘华平，叶军，罗玲，等.超声影像在肉芽肿性乳腺炎诊断中的应用价值[J].中国超声医学杂志，2018，34（12）：87-88.
[6]	Sun L，Zhu Y，Qian Q，et al.Body mass index and prognosis of breast cancer：An analysis by menstruation status when breast cancer diagnosis[J].Medicine，2018，97（26）：e11220.
[7]	何翠菊，贾宇，于韬，等.男性乳腺癌的磁共振影像学表现及与炎性肉芽肿的鉴别[J].中国临床医学影像杂志，2018，29（9）：616-619.
[8]	王荔，曹洪霞，张柯，等.彩色多普勒超声检查诊断浆细胞性乳腺炎的误诊分析[J].中国急救医学，2018，38（z2）：301-301.
[9]	Zhang H，Han W，Jin M，et al.Establishment and Verification of a Scoring Model for the Differential Diagnosis of Pancreatic Cancer and Chronic Pancreatitis[J].Pancreas，2018，47（4）：1.
[10]	陈香梅，钟洁愉，孙德胜，等.超声对肉芽肿性小叶性乳腺炎与乳腺导管原位癌的鉴别诊断价值[J].中国医学影像学杂志，2018，26（9）：16-19.
[11]	刘德樟，刘翠钰，周小忠，等.多种MRI参数联合诊断肿块型肉芽肿性乳腺炎的Logistic分析[J].放射学实践，2019，34（6）：640-645.
[12]	Chang WH，Horng HC，Yeh CC，et al.Risks of female genital tract related cancers（gynecological cancers）or breast cancer in women with and without chronic kidney disease：A population-based cohort study in Taiwan[J].Medicine，2018，97（12）：e0157.
[13]	陈玲，张晓云，王延文，等.肉芽肿性小叶性乳腺炎300例临床病理学分析[J].中华病理学杂志，2019，48（3）：231-236.
[14]	王华，张著学，顾丽，等.抗分枝杆菌药物治疗特发性肉芽肿性乳腺炎的疗效评价[J].福建医科大学学报，2019，32（3）：163-167.
[15]	Traboulsi T，El EM，Dumeaux V，et al.Role of SUMOylation in differential ERα transcriptional repression by tamoxifen and fulvestrant in breast cancer cells[J].Oncogene，2019，38（7）：1019-1037.