初步探讨乳腺硬化性腺病超声分类的应用价值

摘要

Objective:To investigate the classificatory value of color doppler ultrasonography in breast sclerosing adenosis (SA).Methods:Preoperative sonography of 23 SA patients (pathological confirmed) from January 2010 to December 2015 were retrospectively analyzed.SA lesions were classified as localized sclerosing adenosis (LSA) or tuberous sclerosing adenosis(TSA).Results:①The average age of LSA group was younger than TSA;②21.74％ SA patients were misdiagnosed as malignant lesions;③The detective rates of acoustic halo,focal calcification and the internal blood flow between two SA groups had no statistical significant differences (P=0.812,0.584,0.606,P＞0.05).Meanwhile,there were statistical significant differences in internal echo,shape and margin border between two SA groups(P=0.000,0.000,0.001,0.034,P＜0.05).Conclusion:Further analyzation of characteristic signs from color Doppler ultrasonography is useful in classification of LAS and TAS.%目的:探讨彩色多普勒超声在乳腺硬化性腺病(SA)的超声分类的价值.方法:回顾性分析2010年1月-2015年12月23例乳腺SA的术前彩色多普勒超声图像,对病灶的内部回声、边界、周围高回声晕、钙化灶、形态、边缘以及内部Adler血流分级进行分析,并与病理结果进行对照分析.初步归纳分类为局限型SA(LSA)与结节形成型SA(TSA).结果:①LSA患者的平均年龄小于TSA;②SA患者误诊为恶性病变达21.74％;③在周围高回声声晕、钙化灶和内部血流上的检出率差异无统计学意义(P分别0.812、0.584、0.606,P＞0.05);在内部回声、形态、边缘、边界的检出率差异有统计学意义(P分别为0.000、0.000、0.001、0.034,P＜0.05).结论:进一步提高对乳腺SA超声分型的声像图认识,对乳腺SA的诊断与鉴别诊断具有重要价值.