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目的分析超声造影在乳腺结核诊断中的应用价值。方法回顾性分析23例经病理证实为乳腺结核患者声像图,总结常规超声及超声造影特点。结果 23例乳腺结核常规声图像表现为结节型(18例)及窦道型(5例)。超声造影表现为3种类型:Ⅰ型(11例):病灶环状增强,内部无增强;Ⅱ型(7例):病灶弥漫性不均匀增强;Ⅲ型(5例):病灶不规则增强,内部条带状增强及多处无增强区。结论超声造影可显示乳腺结核病灶的内部血供情况,准确判断其病理形态,在乳腺结核的诊断中有一定的应用价值。
Objective To analyze the value of contrast-enhanced ultrasound in the diagnosis of breast tuberculosis. Methods A retrospective analysis of 23 cases of pathologically confirmed breast tuberculosis patients ultrasound image, summarize the characteristics of conventional ultrasound and contrast-enhanced ultrasound. Results Twenty-three cases of conventional tuberculosis showed nodular (18 cases) and sinus (5 cases). There were three types of contrast-enhanced ultrasonography: type I (n = 11): annular enhancement without enhancement; type II (n = 7): diffuse heterogeneity of enhancement; type III Internal strip enhanced and many non-enhanced area. Conclusion Contrast-enhanced ultrasound can show the internal blood supply of breast tuberculosis and accurately determine its pathological form, which has a certain value in the diagnosis of breast tuberculosis.