乳腺导管内乳头状瘤MRI诊断价值分析.docVIP

乳腺导管内乳头状瘤的MRI诊断价值分析 　　[摘要] 目的 研究乳管内乳头状瘤患者在临床诊断中，采用MRI进行检查的应用价值。方法 随机选取该院2010年1月―2014年12月乳管内乳头状瘤患者50例作为研究对象，分别对患者行MRI检查、超声检查，分析诊断结果的影像学特征，然后和病理诊断结果进行比较，观察不同检查方式的诊断符合率。结果 MRI诊断符合率（96.2%）和病理诊断结果差异不大，但明显高于超声诊断（81.8%），差异有统计学意义（P0.05）。结果显示导管扩张且在内部或边缘有结节样病灶30例（58.8%），乳腺内实性结节18例（35.3%），乳腺导管扩张3例（5.9%），不同类型的病灶在MRI和超声诊断的影像学特征上各有差异。结论 乳管内乳头状瘤患者应用MRI诊断的符合率较高，能够呈现出病灶的类型和特征，具有良好的应用价值。 　　[关键词] 乳管内乳头状瘤；临床诊断；MRI检查；影像学 　　[中图分类号] R737 [文献标识码] A [文章编号] 1674-0742（2015）08（c）-0178-02 　　Analysis the MRI Diagnostic Value of Breast Intraductal Papilloma 　　ZHANG Li-ping 　　Department of Radiology， Yixing City Peoples Hospital， Yixing， Jiangsu Province， 214200 ，China 　　[Abstract] Objective To study the application value of MRI in the clinical diagnosis of the patients with breast intraductal papilloma. Methods From January 2010 to December 2014， 50 patients with breast intraductal papilloma as the research object， the patients underwent MRI examination， ultrasound examination， analyzed the Imaging features of diagnosis results， and the diagnostic results were compared with pathological diagnosis. Results The MRI coincidence rate （96.2%） and the results of pathological diagnosis were not significantly different， but it was significantly higher than the ultrasonic diagnosis （81.8%）， the difference was statistically significant （P 0.05）. The results showed that there were 30 cases （58.8%） of the lesions in the inner and margin of the catheter， 18 cases of solid nodules in the breast （35.3%）， 3 cases of mammary duct expansion （5.9%）， the different types of lesions in MRI and ultrasound diagnosis of imaging features were different. Conclusion The high compliance rate of MRI in the diagnosis of breast duct papilloma patients can show the type and characteristics of the lesions， which has good application value. 　　[Key words] Inverted papilloma of the milk tube； Clinical diagnosis； MRI； Imaging 　　乳腺导管内乳头状瘤是临床上常见的乳腺良性肿瘤，产后妇女是高发群体，一般以40～50岁年龄段为主。该疾病病灶发生在乳腺导管上皮，具有较高的发病率，在乳腺纤维腺瘤、乳腺癌之后位居第三位，危害患者的