彩色多普勒超声对乳头溢液的病因诊断与鉴别

目的:探讨彩色多普勒超声对乳头溢液的病因诊断及鉴别诊断价值。方法:术前应用彩色多普勒超声对72例乳头溢液患者进行检查,并将超声检查结果与手术及病理诊断结果对比。结果:本组72例乳头溢液包括:导管内乳头状瘤38例(52.8%),乳腺囊性增生23例(31.9%),导管内乳头状癌6例(8.3%)及浆细胞性乳腺炎5例(7.0%)。彩色多普勒超声检出乳腺病变最小直径0.2cm,最大直径2.4cm,经与手术及病理诊断结果对比,超声对病变检出率为90.3%(65/72),超声诊断符合率达81.9%(59/72)。结论:彩色多普勒超声对乳头溢液患者病变定位及定性诊断价值较大,可作为临床诊断本病的首选检查方法。

Color Doppler ultrasonography in etiological diagnosis and differential diagnosis of nipple discharge

Objective: To investigate the value of color Doppler ultrasonography in the etiological diagnosis and differential diagnosis of nipple discharge. Methods: The ultrasonographic findings of 72 cases with nipple discharge were studied and compared with pathological results. Results: In the 72 cases, 38 cases were intracanalicular papilloma(52.8%), 23 cases were breast cystic hyperplasia (31.9%), 6 cases intracanalicular papillocarcinoma(8.3%), and 5 cases plasma cell mastitis(7.0%). The minimum lesions found by ultrasound were 0.2cm diameter, and the maximum lesion was 2.4cm in diameter, the rate of detection was 90.3%(65/72), the accuracy of ultrasonic diagnosis for nipple discharge was 81.9%. Conclusions: Color Doppler ultrasound played an important role in the differential diagnosis of nipple discharge. It could be the best way to choose for clinical diagnosis of nipple discharge.