目的: 评估超声联合超声引导下穿刺活检在浆细胞性乳腺炎诊断中的应用价值。方法: 我们回顾性
分析临床和超声检查发现43 例可疑浆细胞性乳腺炎的女性病人，所有病人行灰阶超声检查和超声引导下穿刺
活检。结果: 病人最常见的症状是乳房肿块和疼痛; 超声引导下穿刺活检获得成功，无并发症; 43 例可疑病例中
26 例手术病理诊断为浆细胞性乳腺炎，超声检查出21 例( 80．7%) ，超声联合超声引导下穿刺检查出25 例
( 96．1%) 。超声联合超声引导下穿刺对浆细胞性乳腺炎诊断的敏感度为96．1%，特异度为94．1%。结合声像图分
为三种类型: 12 例为I 型肿块型; 9 例为Ⅱ型脓肿型; 5 例为Ⅲ型混合型。结论: 超声联合超声引导下穿刺活检对
诊断浆细胞性乳腺炎及其鉴别诊断有显著的作用。浆细胞性乳腺炎的诊断最终需要组织病理学确认。

Objective: We examined the roles of ultrasonography and ultrasound－guided biopsy in
the diagnosis of plasma cell mastitis．Methods: We retrospectively studied the clinical and the sonographic
findings in 43 women who suspected plasma cell mastitis．All patients underwent gray －scale
sonographic examination and ultrasound － guided biopsy． Results: The most common presenting
symptoms were a mass in the breast and pain．Ultrasound－guided biopsy were successful，no significant
complications．The findings were plasma cell mastitis in 26 of 43 patients，ultrasound examination of 21
cases ( 80．7%) ，Ultrasound combined with ultrasound － guided puncture in 25 cases ( 96．1%) ．
Ultrasound combined with ultrasound－guided puncture for the diagnosis of plasma cell mastitis sensitivity
of 96．1%， specificity of 94．1%．Combined with sonography is divided into three types，12 cases of
type I tumor type，9 cases of type Ⅱ abscess type，5 cases of type Ⅲ hybrid type．Conclusion: Neither
Ultrasonography nor Ultrasound－guided biopsy plays a significant role in the diagnosis and
differential diagnosis of plasma cell mastitis． All cases require histopathologic confirmation for final
diagnosis．

R81

 收稿日期: 2017－03－09; 修回日期: 2017－08－26
基金项目: 国家自然科学基金( 81460269) ; 北京市自然科学基金资助项目( 7162202)
作者简介: 刘珂( 1982－) ，女，内蒙古鄂尔多斯市中心医院超声科主治医师。
通讯作者: 王淑敏，主任医师，E－mail: shuminwang2014@ 163．com 内蒙古鄂尔多斯市中心医院超声科， 017000