CAJ | 학술논문

目的：探讨实时剪切波弹性成像（ SWE）对不同类型男性乳腺发育症的诊断价值。方法收集2014年1—12月中国医科大学附属第四医院门诊及住院经手术或临床随访观察诊断为男性乳腺发育症的患者78例为研究对象。应用实时SWE对患者进行检查，记录其弹性模量值最大值、弹性模量值最小值和平均弹性模量值。根据超声图像特征将78例男性乳腺发育症患者的乳腺病灶（97个）分为3组，即结节型组（ A组，33例，40个）、类女性乳腺型组（ B组，34例，43个）和树根型组（ C组，11例，14个）。比较各组弹性模量值的差异。结果各组弹性模量值最大值、平均弹性模量值比较，差异有统计学意义（P＜0.05）；各组弹性模量值最小值比较，差异无统计学意义（P＞0.05）。 B组弹性模量值最大值低于A组（P＜0.05）； B组、 C组平均弹性模量值低于A组（P＜0.05）。结论实时SWE对不同类型男性乳腺发育症有一定诊断价值，尤其是平均弹性模量值和弹性模量值最大值。
목적：탐토실시전절파탄성성상（ SWE）대불동류형남성유선발육증적진단개치。방법수집2014년1—12월중국의과대학부속제사의원문진급주원경수술혹림상수방관찰진단위남성유선발육증적환자78례위연구대상。응용실시SWE대환자진행검사，기록기탄성모량치최대치、탄성모량치최소치화평균탄성모량치。근거초성도상특정장78례남성유선발육증환자적유선병조（97개）분위3조，즉결절형조（ A조，33례，40개）、류녀성유선형조（ B조，34례，43개）화수근형조（ C조，11례，14개）。비교각조탄성모량치적차이。결과각조탄성모량치최대치、평균탄성모량치비교，차이유통계학의의（P＜0.05）；각조탄성모량치최소치비교，차이무통계학의의（P＞0.05）。 B조탄성모량치최대치저우A조（P＜0.05）； B조、 C조평균탄성모량치저우A조（P＜0.05）。결론실시SWE대불동류형남성유선발육증유일정진단개치，우기시평균탄성모량치화탄성모량치최대치。
Objective To investigate the diagnostic value of real -time shear wave elastography ( SWE) for different types of gynecomastia .Methods 78 patients who were diagnosed with gynecomastia in the Fourth Affiliated Hospital of China Medical University from January to December 2014 were enrolled in the study .The maxium elastic mould value , the minimum elastic mould value and the average elastic mould value were recorded by SWE .According to the features of ultrasound images , 78 patients (97 breasts) were divided into three groups: nodular type group ( group A, 33 patients, 40 breasts), female breast like group (group B, 34 patients, 43 breasts) and tree root type group (group C, 11 patients, 14 breasts) .Elastic mould value was compared among the three groups .Results The three groups were significantly different ( P<0.05 ) in the maximum elastic mould value and the average elastic mould value; the three groups were not significantly different ( P>0.05 ) in the minimum elastic mould value.Group B was lower (P<0.05) than group A in the maxium elastic mould value; group B and group C were lower ( P<0.05 ) than group A in the average elastic mould value .Conclusion Real-time SWE has a certain value in the diagnosis of different types of gynecomastia , especially for the maxium elastic mould value and the average elastic mould value.