将超声与乳腺 X 线摄影相结合，提高浆细胞性乳腺炎的诊断准确性。
Combining ultrasonography and mammography to improve diagnostic accuracy of plasma cell mastitis.
机构信息
Department of Ultrasound, Chonggang General Hospital, Chongqing, China.
Department of Ultrasound, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
出版信息
J Xray Sci Technol. 2020;28(3):555-561. doi: 10.3233/XST-190607.
OBJECTIVE
To evaluate the diagnostic value of ultrasonography and mammography for plasma cell mastitis.
METHODS
The ultrasonographic and mammographic images of 111 women with histopathologically confirmed plasma cell mastitis were retrospectively analyzed. The diagnostic accuracy of the two imaging methods was compared.
RESULTS
Ultrasonography identified 91 out of 111 (82.0%) patients with plasma cell mastitis, while the other twenty (18.0%) patients were misdiagnosed. Mammography identified 83 (74.8%) out of 111 patients with plasma cell mastitis. Nineteen (17.1%) patients were misdiagnosed. There was no significant difference between the diagnostic accuracy of using two imaging tests (P = 0.127). Mammography clouds identified 11 out of 20 patients who were not diagnosed by ultrasonography. Meanwhile, 19 of the 28 cases misdiagnosed with mammography were correctly identified by ultrasonography. Overall, 91.9% (102/111) of the patients were identified by the combination of ultrasonography and mammography, which yielded statistically significant higher accuracy than using each single test only (P < 0.05).
CONCLUSIONS
In diagnosis of plasma cell mastitis, high-frequency ultrasonography and mammography should be combined to improve the diagnostic accuracy.
目的
评估超声和乳腺 X 线摄影对浆细胞性乳腺炎的诊断价值。
方法
回顾性分析 111 例经组织病理学证实的浆细胞性乳腺炎患者的超声和乳腺 X 线摄影图像。比较两种影像学方法的诊断准确性。
结果
超声检查可识别出 111 例浆细胞性乳腺炎患者中的 91 例（82.0%），其余 20 例（18.0%）被误诊。乳腺 X 线摄影可识别出 111 例浆细胞性乳腺炎患者中的 83 例（74.8%），另外 20 例（17.1%）被误诊。两种影像学检查的诊断准确性无显著差异（P=0.127）。乳腺 X 线摄影可识别出超声检查未诊断的 20 例患者中的 11 例。同时，19 例经乳腺 X 线摄影误诊的病例经超声检查得到正确识别。总体而言，超声和乳腺 X 线摄影联合检查可识别出 111 例患者中的 91.9%（102/111），诊断准确性明显高于单独使用任何一种检查（P<0.05）。
结论
在浆细胞性乳腺炎的诊断中，应联合应用高频超声和乳腺 X 线摄影以提高诊断准确性。
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