CAJ | 학술논문

目的：探讨乳腺硬化性腺病的超声表现及超声诊断乳腺硬化性腺病的价值。方法回顾性分析2009年5月至2013年8月上海交通大学医学院附属瑞金医院收治的经手术病理证实的35例乳腺硬化性腺病的超声表现特征，以乳腺超声影像报告与数据系统为基础进行评估，并分析其诊断符合率。结果根据本组乳腺硬化性腺病灰阶超声声像图特征初步分为3型：（1）类似恶性肿块特征型（Ⅰ型）（34%，12/35）；（2）良性结节特征型（Ⅱ型）（43%，15/35）；（3）腺体结构紊乱型（Ⅲ型）（23%，8/35）。超声征象中以乏血供特征最具鉴别诊断价值，符合率达100%。Ⅰ、Ⅱ、Ⅲ型乳腺硬化性腺病的符合率分别为0（0/12）、93%（14/15）、75%（6/8），总符合率仅为57%（20/35）。结论乳腺硬化性腺病缺乏典型的超声声像图特征，超声医师对此病的认识有待提高。
목적：탐토유선경화성선병적초성표현급초성진단유선경화성선병적개치。방법회고성분석2009년5월지2013년8월상해교통대학의학원부속서금의원수치적경수술병리증실적35례유선경화성선병적초성표현특정，이유선초성영상보고여수거계통위기출진행평고，병분석기진단부합솔。결과근거본조유선경화성선병회계초성성상도특정초보분위3형：（1）유사악성종괴특정형（Ⅰ형）（34%，12/35）；（2）량성결절특정형（Ⅱ형）（43%，15/35）；（3）선체결구문란형（Ⅲ형）（23%，8/35）。초성정상중이핍혈공특정최구감별진단개치，부합솔체100%。Ⅰ、Ⅱ、Ⅲ형유선경화성선병적부합솔분별위0（0/12）、93%（14/15）、75%（6/8），총부합솔부위57%（20/35）。결론유선경화성선병결핍전형적초성성상도특정，초성의사대차병적인식유대제고。
Objective To study the sonographic features of mammary sclerosing adenosis (SA) and evaluate the diagnositic value of ultrasound. Methods Thirty-ifve patients with pathologically conifrmed SA in Ruijin Hospital from May 2009 to August 2013 were retrospectively analyzed. The Breast Imaging Reporting and Data System (BI-RADS) lexicon was introduced to describe the lesions. The diagnostic sensitivity was analyzed. Results The main sonographic ifndings of SA could be characterized into three types:(1) malignancy-looking nodule type (typeⅠ) (34%, 12/35). (2) benignity-looking nodule type (typeⅡ) (43%, 5/35). (3) architectural disorder type (typeⅢ) (23%, 8/35). Lack of blood supply has the greatest value in differential diagnosis among all sonographic features. The diagnositic sensitivity in typeⅠ, typeⅡ, typeⅢwere 0 (0/12), 93%(14/15), and 75%(6/8) respectively. The general sensitivity was only 57%(20/35). Conclusions There are no typical sonographic features in mammary sclerosing adenosis. Ultrasound doctors should improve their knowledge about this disease.