摘要
目的 探讨超声、X线钼靶、磁共振成像在浆细胞性乳腺炎（plasma cell mastitis,PCM）术前诊断中的价值,提高其对临床治疗的指导意义.方法 收集经手术病理确诊的53例PCM的多种影像检查结果及临床诊疗资料,回顾性分析并比较3种影像学资料对病情的评估,结合术后病理比较这3种影像检查的诊断效能和对诊断及手术治疗的指导价值.结果 全组53例经病理证实均为PCM.术前钼靶X线诊断PCM正确率16.67％ （3/18）,术前超声诊断正确率为28.30％（15/53）,术前MRI诊断正确率为53.12％ （17/32）,3者的诊断正确率比较存在统计学差异（χ2=16.68,P＜0.05）.综合临床及3种检查手段,术前确诊为PCM正确率为66.04％（35/53）,诊断正确率明显提高.结论 PCM初期仅依靠临床症状及体征确诊较困难,术前多种影像交叉检查可提高PCM初期诊断的准确率,有助于降低其复发率.
Objective To investigate the value of ultrasound,X-ray,and nuclear magnetic resonance imaging in preoperative diagnosis of plasma cell mastitis（PCM）.Methods 53 patients with PCM confirmed by operation and pathology were retrospectively analyzed.Their preoperative varied imaging data and postoperative pathological results were compared to analyze the effectiveness of these 3 kinds of imaging methods and their guiding value for diagnosis and surgical treatment of PCM.Results All of the 53 cases diagnosed as PCM were confirmed by pathological results.3 cases were diagnosed by mammography,15 cases were diagnosed by ultrasound and 17 cases were diagnosed by MRI,with the accuracy rate of 16.67％,28.30％,and 53.12％ respectively.Finally,35 cases were diagnosed combining with the clinical data and these 3 kinds of examination,with the diagnostic accuracy rate of 66.04％,which was significantly improved.Conclusions It is difficult to diagnose the early PCM only depending on clinical symptoms and signs.Preoperative cross examination of multiple imaging methods can significantly increase the accuracy rate and help to reduce the recurrence rate of PCM.
出处
《中华内分泌外科杂志》
CAS
2014年第5期413-418,共6页
Chinese Journal of Endocrine Surgery
基金
国家科技惠民计划项目（2013GS500101-05）
关键词
核磁共振
X线
超声
浆细胞性乳腺炎
Nuclear magnetic resonance
X ray
Ultrasound
Plasma cell mastitis
