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目的探讨浆细胞性乳腺炎的超声图像特征及诊断价值,分析超声漏误诊原因。方法收集86例超声诊断为浆细胞性乳腺炎以及经手术及病理证实为浆细胞性乳腺炎患者资料,对照术后病理回顾性分析其彩色多普勒超声表现。结果本组病例诊断符合率为82.6%,误诊病例中术前超声诊断为浆细胞性乳腺炎者病理结果 6例为肉芽肿性乳腺炎,6例为乳腺腺病,3例术前超声未诊断而术后病理诊断为浆细胞性乳腺炎,1例误诊乳腺癌,1例误诊双乳囊性增生,1例误诊乳腺增生结节。结论超声检查仍然是诊断浆细胞性乳腺炎最重要最常用的辅助检查,对诊断疾病、术前定位及术后随访均具有指导性意义,如能结合临床及其他多种影像学检查可显著提高初期诊断率。
Objective To investigate the characteristics and diagnostic value of ultrasound in plasma cell mastitis and to analyze the causes of misdiagnosis of ultrasound. Methods The data of 86 cases diagnosed as plasma cell mastitis by ultrasonic diagnosis and proved to be cystic mastitis by operation and pathology were retrospectively analyzed by color Doppler sonography. Results The diagnostic accuracy of this group was 82.6%. Preoperative ultrasound diagnosis of plasma cell mastitis in 6 cases was granulomatous mastitis, 6 cases were breast adenosis and 3 cases were not diagnosed by preoperative ultrasonography Postoperative pathological diagnosis of plasma cell mastitis, 1 case of breast cancer misdiagnosed, 1 case of misdiagnosed twin milk cyst hyperplasia, 1 case of misdiagnosed breast hyperplasia nodules. Conclusion Ultrasonography is still the most important and most commonly used auxiliary examination for diagnosis of plasma cell mastitis. It is instructive to diagnose diseases, preoperative location and postoperative follow-up. If combined with clinical and other imaging tests, ultrasonography can be significantly improved The initial diagnosis rate.