超声对乳腺肉芽肿性小叶性乳腺炎的诊断价值

摘要

回顾性分析新泰市人民医院2013年12月至2016年12月15例住院经手术病理检查证实的肉芽肿性小叶性乳腺炎患者的超声声像图表现.15例中超声声像图为肿块型6例、管状型5例、混合型4例,术前超声诊断正确分别为3、4、3例;彩色多普勒血流成像显示病变内血流信号多较丰富.管状型和混合型的超声表现具有一定的特异性,超声多能做出诊断,对于肿块型不典型病变的诊断,可结合超声引导下的针吸细胞学检查进行确诊.%The findings of preoperative ultrasonography in patients with granulomatous lobular mastitis treated in Xintai People's Hospital from December 2013 to December 2016 were retrospectively analyzed.Among 15 cases of granulomatous lobular mastitis confirmed by pathology,there were 6 cases of mass type,5 cases of tubular type and 4 cases of mixed type diagnosed by ultrasound before operation,which were consistent to pathological diagnosis in 3,4,3,respectively.On the ultrasound images,the blood flow signals are more rich,the tubular and mixed type have certain specificity,and color Doppler flow imaging (CDFI) usualy can make correct diagnosis.For the atypical mass lesions,the final diagnosis can be made by ultrasound-guided needle aspiration biopsy.