摘要
目的:以更精细、有效的观察指标提高浆细胞性乳腺炎与肉芽肿性乳腺炎的诊断效率及准确率,以便临床医生针对患者疾病类型给予及时、对症的治疗,避免由于误诊导致的治疗延误。在此基础上提高患上述两种乳腺疾病的整体治疗效果和就医满意度。方法:选取2019年2月至2021年2月期间前往海慈医院功能检查科进行检查的乳腺炎患者100例,患者性别均为女性,年龄范围为30至40岁,平均分为两组,每组各50人。一组经病理检查后确诊为浆细胞性乳腺炎(PCM组),另一组患者全部确诊为肉芽肿性乳腺炎(GM组)。分组后调取两组患者入院检查的影像资料,以病理检查结果为金标准,对比两组患者高频彩超影像检查时的超声形态、边缘光整、边缘模糊、边缘成角、边缘微小分叶、边缘毛刺、内部回声、周围脂肪、美国乳腺影响报告和数据系统(Breast Imaging Reporting and Data System,简称BI-RADS)、边缘能否探、内膜回声及内膜厚度等指标并进行异同分析。研究结论:经两组患者的影像资料对比分析和数据统计可得,炎症边缘能否探及内膜回声及内膜厚度(约为0.5 mm)是鉴别浆细胞性乳腺炎和肉芽肿性乳腺炎的重要依据,鉴别准确率高达92%。以上述指标对两种疾病进行鉴别诊断有助于医师尽快针对患者的具体乳腺炎类型开展后续治疗,避免病情延误;同时能够提高治疗效果和患者的就医满意度,值得加以推广应用。
Objective: Improve the diagnostic efficiency and accuracy of plasma cell mastitis and granuloma-tous mastitis with more refined and effective observation indicators, so that clinicians can give timely and symptomatic treatment to the patient’s disease type and avoid treatment delays due to misdiagnosis. On this basis, the overall treatment effect and medical satisfaction of the above two breast diseases are improved. Methods: 100 patients with mastitis who went to the Functional Ex-amination Department of Haici Hospital for examination between February 2019 and February 2021, all of whom were female in the age range of 30 to 40 years old, were divided into two groups on average, each group of 50 people. One group of patients was diagnosed with plasma cell mastitis (PCM group) after pathological examination, and the other group of patients was all diagnosed with granulomatous mastitis (GM group). After grouping, the imaging data of the admission examination of the two groups of patients were collected, and the pathological examination results were used as the gold standard, comparing the ultrasound morphology, edge finishing, edge blur, edge angularity, margin microlobeculation, edge burrs, internal echo, peripheral fat, Breast Imaging Reporting and Data System (BI-RADS) during the high-frequency chromo ultrasimation examination of the two groups. Whether the edge can detect the intimal echo and the thickness of the intimal membrane and analyze the similarities and differences. Conclusion: After comparative analysis and data statis-tics of the imaging data of the two groups of patients, it can be found that whether the inflammatory edge can probe and the intimal echo and the thickness of the intimal membrane (about 0.5 mm) is an important basis for distinguishing plasmacytic mastitis and granulomatous mastitis, and the identification accuracy rate is as high as 92%. Differential diagnosis of the two diseases with the above indicators helps physicians to carry out follow-up treatment for the patient’s specific type of mastitis as soon as possible and avoid delays;At the same time, it can improve the treatment effect and the patient’s satisfaction with the treatment, which is worth promoting and applying.
出处
《临床医学进展》
2022年第12期11037-11044,共8页
Advances in Clinical Medicine
