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目的探讨乳腺纤维腺瘤超声弹性成像(ultrasonic elastography,UE)评分结果与其病理类型的相关性。方法回顾性分析314个病理诊断为纤维腺瘤的乳腺病灶的UE评分情况,与其病理特点进行相关性分析。结果乳腺纤维腺瘤弹性评分与病理类型之间有一定相关性(P<0.05);广泛黏液样变或透明样变可以使管周型纤维腺瘤的硬度减低(P<0.05);间质增生丰富的管内型以及管周型合并管内型的纤维腺瘤,弹性评分与相应病理类型的间质增生不丰富的相比,两者之间弹性评分差异有统计学意义(P<0.05)。结论乳腺纤维腺瘤的UE评分与病理类型相关,不同情况的病理改变可能导致乳腺纤维腺瘤硬度的变化。
Objective To investigate the correlation between the results of ultrasonic elastography (UE) of breast fibroadenoma and its pathological types. Methods Retrospective analysis of 314 cases of pathological diagnosis of fibroadenoma in breast lesions UE score, and its pathological features were analyzed. Results There was a significant correlation between the elastic score of breast fibroadenoma and the pathological type (P <0.05). The extensive myxoid or clear morphological changes could reduce the hardness of peritubular fibroadenoma (P <0.05) The difference of elastic score between the two groups was statistically significant (P <0.05). The difference between the elastic score and the corresponding pathological type of interstitial hyperplasia was statistically significant (P <0.05). Conclusion The UE score of breast fibroadenoma is related to the pathological type. The pathological changes in different situations may lead to the change of the breast fibroadenoma hardness.