常规超声、弹性成像及超声造影对乳腺局灶性纤维化的诊断与鉴别诊断价值

发布时间：2017-12-28 14:21

本文关键词：常规超声、弹性成像及超声造影对乳腺局灶性纤维化的诊断与鉴别诊断价值　出处：《临床超声医学杂志》2017年01期 　论文类型：期刊论文

【摘要】：目的探讨常规超声、弹性成像及超声造影对乳腺局灶性纤维化(FFB)的诊断与鉴别诊断价值。方法回顾性分析经病理证实的17例FFB、49例乳腺浸润性导管癌(IDC)及34例乳腺纤维腺瘤(FA)患者的常规超声、弹性成像及超声造影图像特征,结果进行对比分析。结果 FFB声像图表现为边界不清、高回声晕,后方回声衰减及内部回声不均匀的检出率与IDC相近,但高于FA(P0.05);FFB病灶内部钙化灶及血流信号的检出率低于IDC(P0.05);FFB的弹性成像评分与IDC相近,但高于FA(P=0.000)。FFB超声造影表现为病灶低增强,呈"晚进晚退"的征象均高于IDC和FA(均P0.05);见扭曲大血管的征象均低于IDC和FA(P=0.000、0.042)。结论常规超声及弹性成像对FFB与乳腺IDC的鉴别诊断有限,超声造影对FFB鉴别诊断具有价值,应作为首选检查方法。
[Abstract]:Objective to evaluate the diagnostic and differential diagnostic value of conventional ultrasound, elastography and ultrasound contrast in the diagnosis and differential diagnosis of focal fibrosis (FFB) of the breast. Methods 17 cases of FFB, 49 cases of breast invasive ductal carcinoma (IDC) and 34 cases of breast fibroadenoma (FA) confirmed by pathology were analyzed retrospectively. Results FFB ultrasonography showed unclear, hyperechoic halo, rear echo attenuation and uneven internal echo detection rate similar to IDC, but higher than that of FA (P0.05); FFB lesion calcification and blood flow rate of less than IDC (P0.05); elastography scores FFB and IDC were similar, but higher than FA (P=0.000). FFB contrast enhanced ultrasound showed a low enhancement of lesions and a sign of "late entry and late retreat". All the signs were higher than those of IDC and FA (all P0.05). The signs of distorted vessels were lower than those of IDC and FA (P=0.000, 0.042). Conclusion the differential diagnosis of FFB and breast IDC is limited by conventional ultrasound and elastography, and it is valuable for differential diagnosis of FFB, and it should be the first choice.
【作者单位】：南京医科大学附属无锡人民医院超声医学科;
【基金】：江苏省卫计委妇幼健康科研项目(F201567) 无锡市医管中心重点科研项目(YGZXZ1509) 无锡卫计委妇幼健康科研项目(FYKY201502)
【分类号】：R445.1;R655.8
【正文快照】： 乳腺局灶性纤维化(focal fibrosis of the breast,FFB)是间质组织因良性纤维化增生而形成无包膜的局限性病灶,一般认为是在乳腺纤维腺病的病理基础上进一步纤维增生,临床及影像学检查易误诊为乳腺癌[1-3]。国内外有关FFB超声特征的文献[4-6]报道甚少,本研究回顾性分析17例FFB

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