| 摘要: |
| ［摘要］ 目的 分析123例肉芽肿性小叶性乳腺炎（GLM）的超声表现，探讨超声在GLM疾病诊断中的临床应用价值。方法 回顾性分析北京中医药大学厦门医院胸外乳腺科2018年1月至2020年10月收治的123例GLM患者临床资料。所有患者经穿刺活检或手术病理确诊。根据超声影像分为结节型（13例）、团块型（18例）、脓肿型（33例）、窦道低回声区型（59例），分析各型超声表现的差异。结果 四种分型在病灶周边回声增强、血流信号丰富、窦道、腋下淋巴结肿大、累及皮肤的超声表现上差异均有统计学意义（P<0.05）。其中结节型主要表现为血流信号丰富；团块型主要表现为血流信号丰富和腋下淋巴结肿大；脓肿型和窦道低回声区型均主要表现为周边回声增强、血流信号丰富和腋下淋巴结肿大。结论 不同分型GLM的超声表现存在较大差异，可为临床疾病诊治提供参考依据。 |
| 关键词: 肉芽肿性小叶性乳腺炎 超声 图像特征 分型 |
| DOI：10.3969/j.issn.1674-3806.2021.11.11 |
| 分类号:R 736.3 |
| 基金项目:厦门市科技计划项目（编号：3502Z20194047） |
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| Analysis of ultrasonic features in 123 cases of granulomatous lobular mastitis |
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LIN Yun, LIN Yun, CHANG Jian-dong, et al.
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Department of Ultrasound, Xiamen Hospital of Beijing University of Chinese Medicine, Fujian 361009, China
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| Abstract: |
| ［Abstract］ Objective To analyze the ultrasonic manifestations of 123 cases of granulomatous lobular mastitis(GLM), and to explore the clinical application value of ultrasound in the diagnosis of GLM disease. Methods The clinical data of 123 GLM patients admitted to the Department of Thoracic Breast, Xiamen Hospital of Beijing University of Chinese Medicine from January 2018 to October 2020 were retrospectively analyzed. All the patients were diagnosed as confirmed cases of GLM by needle biopsy or surgical pathology. The ultrasonic manifestations of GLM were classified as nodular type(13 cases), mass type(18 cases), abscess type(33 cases), and sinus hypoechoic zone type(59 cases) according to the ultrasound images, and the differences in the ultrasonic manifestations of each type were analyzed. Results The four types had statistically significant differences in the ultrasonic manifestations of the enhanced surrounding echoes of the lesion, abundant blood flow signals, sinus tracts, axillary lymphadenopathy, and skin involvement(P<0.05). Among them, the nodular type was mainly manifested as abundant blood flow signals; the mass type was mainly manifested as abundant blood flow signals and axillary lymphadenopathy; the abscess type and the sinus hypoechoic zone type were mainly manifested as the enhanced surrounding echoes of the lesion, abundant blood flow signals, and axillary lymphadenopathy. Conclusion The ultrasonic manifestations of different types of GLM are quite different, which can provide a reference for the diagnosis and treatment of clinical diseases. |
| Key words: Granulomatous lobular mastitis(GLM) Ultrasound Image feature Type |
