论文部分内容阅读
目的:分析不同病理分型乳腺叶状肿瘤患者的诊断和治疗方法。方法:抽取南阳市中心医院2010年3月至2019年3月收治的乳腺叶状肿瘤患者110例为研究对象，对其临床资料进行回顾性分析。其中良性乳腺叶状肿瘤患者(65例)为良性组，交界性乳腺叶状肿瘤患者(35例)及恶性乳腺叶状肿瘤患者(10例)为混合组(45例)。患者均采用乳腺彩色多普勒超声与磁共振成像(MRI)等影像学检查并进行手术治疗。比较两组患者的影像学检查结果、手术治疗方法及效果。结果:乳腺彩色多普勒超声诊断乳腺叶状肿瘤的准确率(98.18%，108/110)高于MRI(90.91%，100/110)，差异有统计学意义(n P＝0.018，χn 2＝5.641)。良性组患者肿瘤局部切除术占比高于混合组，肿瘤扩大切除术、乳房切除术占比低于混合组(n P<0.05)。良性组局部复发率、转移率分别为1.54%(1/65)、1.54%(1/65)，低于混合组的11.11%(5/45)、13.33%(6/45)，差异有统计学意义(n P<0.05)。n 结论:在不同病理分型乳腺叶状肿瘤患者临床诊断中，乳腺彩色多普勒超声诊断准确率高。对乳腺叶状肿瘤患者实施手术治疗，良性肿瘤多采用局部切除术，交界性和恶性乳腺叶状肿瘤以肿瘤扩大切除为主，若患者病情加重，则需要全乳切除。治疗后良性肿瘤患者局部复发率、转移率低。“,”Objective:To analyze the clinical diagnosis and treatment of patients with breast phyllodes tumors of different pathological types.Methods:A total of 110 patients with breast phyllodes tumors treated in Nanyang Central Hospital from March 2010 to March 2019 were selected as research objects, and their clinical data were retrospectively analyzed. Among them, 65 patients with benign breast phyllodes tumors were allocated into the benign group; moreover, 35 patients with borderline breast phyllodes tumors and 10 patients with malignant breast phyllodes tumors were all allocated into the mixed group (45 cases). All patients underwent breast color Doppler ultrasound, magnetic resonance imaging (MRI) examination, and surgical treatment. The results of examination, treatment and outcomes of the two groups were compared.Results:Breast color Doppler ultrasound diagnosis has a higher accuracy rate (98.18%, 108/110) and a lower misdiagnosis rate (1.82%, 2/110), compared with the 90.91% (100/110) and 9.09% (10/110) of MRI (n P=0.018, χ n 2=5.641). The rate of local resection of the benign group was higher than that of the mixed group, and the proportions of enlarged tumor resection and mastectomy were lower than those of the mixed group (n P<0.05). The local recurrence rate and metastasis rate of the benign group were 1.54%(1/65) and 1.54%(1/65), respectively, lower than the 11.11%(5/45) and 13.33%(6/45) of the mixed group (n P<0.05).n Conclusions:The accuracy of breast color Doppler ultrasound is high in the clinical diagnosis of breast phyllodes tumors of different pathological types. Surgical treatment is suitable to patients with breast phyllodes tumors. On usual, benign tumors are treated by local resection, while borderline and malignant breast phyllodes tumors require enlarged tumor resection. If the patient’s condition worsens, total mastectomy is required. After treatment, patients with benign tumors have a low local recurrence rate and metastasis rate.