CAJ | 학술논문

目的探讨超声、X线钼靶、磁共振成像在浆细胞性乳腺炎(plasma cell mastitis,PCM)术前诊断中的价值,提高其对临床治疗的指导意义.方法收集经手术病理确诊的53例PCM的多种影像检查结果及临床诊疗资料,回顾性分析并比较3种影像学资料对病情的评估,结合术后病理比较这3种影像检查的诊断效能和对诊断及手术治疗的指导价值.结果全组53例经病理证实均为PCM.术前钼靶X线诊断PCM正确率16.67％ (3/18),术前超声诊断正确率为28.30％(15/53),术前MRI诊断正确率为53.12％ (17/32),3者的诊断正确率比较存在统计学差异(x2=16.68,P＜0.05).综合临床及3种检查手段,术前确诊为PCM正确率为66.04％(35/53),诊断正确率明显提高.结论 PCM初期仅依靠临床症状及体征确诊较困难,术前多种影像交叉检查可提高PCM初期诊断的准确率,有助于降低其复发率.
목적 탐토초성、X선목파、자공진성상재장세포성유선염(plasma cell mastitis,PCM)술전진단중적개치,제고기대림상치료적지도의의.방법 수집경수술병리학진적53례PCM적다충영상검사결과급림상진료자료,회고성분석병비교3충영상학자료대병정적평고,결합술후병리비교저3충영상검사적진단효능화대진단급수술치료적지도개치.결과 전조53례경병리증실균위PCM.술전목파X선진단PCM정학솔16.67％ (3/18),술전초성진단정학솔위28.30％(15/53),술전MRI진단정학솔위53.12％ (17/32),3자적진단정학솔비교존재통계학차이(x2=16.68,P＜0.05).종합림상급3충검사수단,술전학진위PCM정학솔위66.04％(35/53),진단정학솔명현제고.결론 PCM초기부의고림상증상급체정학진교곤난,술전다충영상교차검사가제고PCM초기진단적준학솔,유조우강저기복발솔.
Objective To investigate the value of ultrasound,X-ray,and nuclear magnetic resonance imaging in preoperative diagnosis of plasma cell mastitis(PCM).Methods 53 patients with PCM confirmed by operation and pathology were retrospectively analyzed.Their preoperative varied imaging data and postoperative pathological results were compared to analyze the effectiveness of these 3 kinds of imaging methods and their guiding value for diagnosis and surgical treatment of PCM.Results All of the 53 cases diagnosed as PCM were confirmed by pathological results.3 cases were diagnosed by mammography,15 cases were diagnosed by ultrasound and 17 cases were diagnosed by MRI,with the accuracy rate of 16.67％,28.30％,and 53.12％ respectively.Finally,35 cases were diagnosed combining with the clinical data and these 3 kinds of examination,with the diagnostic accuracy rate of 66.04％,which was significantly improved.Conclusions It is difficult to diagnose the early PCM only depending on clinical symptoms and signs.Preoperative cross examination of multiple imaging methods can significantly increase the accuracy rate and help to reduce the recurrence rate of PCM.