李 亮 修俊青.中国中医科学：广安门医：超声科，北京00035；2.中国中医科学：广安门医：南区肿瘤科，北京00026

    浆细胞性乳腺炎的彩色多普勒超声诊断及分型

    李亮1修俊青2▲

    1.中国中医科学：广安门医：超声科，北京100035；2.中国中医科学：广安门医：南区肿瘤科，北京100026

    目的分析浆细胞性乳腺炎(PCM)的超声诊断特点，总结其声像学特征，提高此病的诊断准确率。方法回顾性分析2014年8月～2016年2月在中国中医科学：广安门医：手术或穿刺病理证实的44例PCM的临床资料，统计病变数目同时总结记录超声图像特点。结果彩色多普勒显示Ⅰ型：乳晕处可见导管扩张，1例(占2.2%)；Ⅱ型：囊、实性肿块回声，16例(占36.5%)，往往与乳头及乳晕处导管相连；Ⅲ型：稍高或不均匀回声肿块回声，14例(占31.8%)，部分可见导管与乳晕区或乳头区相连；Ⅳ型：可见部分或者完全液化脓肿样回声，13例(占29.5%)。结论PCM超声图像特点有其病程、病理特点，彩色多普勒超声能准确发现病灶，有助于鉴别诊断。[关键词]浆细胞性乳腺炎；彩色多普勒；超声诊断

    [Avsteact]Ovjective To analyze the ultrasonicmanifestations of plasma cellmastitis(PCM)and summarize ultrasonogram signs in order to improve the coincidence rate of PCM ultrasonic diagnosis.M ethods Clinical data of 44 patients with PCM confirmed by surgery or pathological examinations from August 2014 to February 2016 was retrospectively analyzed.Statistics of the number of lesions and the characteristics of ultrasonic images.Results TypeⅠ：visible areola dilatation，a total of 1 cases(2.2%)；typeⅡ：cystic and solid echomass in total 16 cases(36.5%)，were connected with the nipple and areola conduit；14 patients ofmixed cystic and solid masses type；typeⅢ：slightly high or uneven echo echomass and a total of 14 cases(31.8%)or no catheter and areola of breast or nipple zone；typeⅣ：there were 13 cases(29.5%)with partial or complete liquefaction of the abscess.Conclusion PCM has special sonographic features of the course and the pathology ......