乳腺超声囊膜厚度作为囊膜收缩严重程度的指标及其与Baker分级的相关性

摘要/Abstract

摘要： 目的探究乳腺超声囊膜厚度作为囊膜收缩严重程度评测指标的可行性,并分析其与患者Baker分级的相关性。方法选取松原市中心医院2019年7月—2022年1月收治的85例患者（170个乳房）作为研究对象,使用超声和组织学检查测量包膜厚度,并分析Baker分级BakerⅠ、Ⅱ、Ⅲ和Ⅳ级分布情况,入组患者再次手术原因分析,采用95%置信区间内相关系数分析两种检测方式对包膜厚度检测的一致性。结果 85个左乳中BakerⅠ级43个、BakerⅡ级11个、BakerⅢ级16个、BakerⅣ级15个,右乳中BakerⅠ级41个、BakerⅡ级13个、Baker Ⅲ级14个、BakerⅣ级17个;通过统计显示,患者接受再次手术的原因较为多样,包括包膜痉挛、假体破裂、错位、乳房植入物相关的间变性改变、不适感、异物感、尺寸变化等,但其中包膜痉挛占比最高,达到40.00%;超声检测BakerⅡ级、BakerⅢ级以及BakerⅣ级患者囊膜厚度分别为（0.58±0.11）mm、（1.07±0.16）mm以及（1.89±0.55）mm,而组织学检测BakerⅠ级、Baker Ⅱ级、BakerⅢ级以及BakerⅣ级患者囊膜厚度分别为（0.28±0.07）mm、（0.58±0.08）mm、（1.06±0.14）mm以及（2.13±1.14）mm,将两种检测方式不同Baker分级囊膜厚度加以比较,结果显示两种检测方式不同Baker分级之间的囊膜厚度比较,差异无统计学意义（P>0.05）。结论将乳腺超声囊膜厚度作为评估囊膜收缩严重程度的可行性较高,其与Baker分级之间存在明显的相关性,与组织学囊膜厚度检测差异并不明显,可以考虑将该方式在临床上运用。

关键词: 乳腺超声, 囊膜厚度, 囊膜收缩严重程度, Baker分级, 相关性

Abstract: Objective To explore the feasibility of breast ultrasound capsule thickness as an index to evaluate the severity of capsule contraction, and to analyze its correlation with Baker's grading of patients. Methods The 85 patients (170 breasts) eligible for the inclusion of Songyuan Central Hospital from July 2019 to January 2022 were included, the capsule thickness was measured by ultrasound and histological examination, analyzed the distribution of Baker grades Baker Ⅰ, Ⅱ, Ⅲ and Ⅳ, and the analysis of the correlation coefficient within 95% confidence interval. Results Among the 85 left breast implants, 43 were Baker Ⅰ, 11 Baker Ⅱ, 16 Baker Ⅲ, 15 Baker Ⅳ, 41 Baker Ⅰ, 13 Baker Ⅱ, 14 Baker Ⅲ, and 17 Baker Ⅳ According to the statistics, it included capsular spasm, prosthesis rupture, dislocation, implant-related anaplastic changes of breast implants, discomfort, foreign body sensation, size changes, but the capsular spasm accounted for the highest proportion, reaching 40.00%. The ultrasonic examination showed that the capsule thickness of Baker Ⅱ, Baker Ⅲ and Baker Ⅳ patients was (0.58 ± 0.11) mm, (1.07 ± 0.16) mm and (1.89 ± 0.55) mm, respectively, while the histological examination showed that the capsule thickness of Baker Ⅰ, Baker Ⅱ, Baker Ⅲ and Baker Ⅳ patients was (0.28 ± 0.07) mm, (0.58 ± 0.08) mm, (1.06 ± 0.14) mm and (2.13 ± 1.14) mm, respectively, The results showed that there was no significant difference in capsule thickness between the two detection methods and different Baker grades (P>0.05). Conclusion It is feasible to use breast ultrasound capsule thickness as an assessment of the severity of capsule contraction. There is a significant correlation between it and Baker grading, and there is no significant difference between it and histological capsule thickness detection. Therefore, this method can be considered for clinical application.

Key words: breast ultrasound, capsule thickness, the severity of capsule contraction, baker rating, relevance

中图分类号:

R445.1

彭洪霞. 乳腺超声囊膜厚度作为囊膜收缩严重程度的指标及其与Baker分级的相关性[J]. 中华养生保健, 2023, 41(14): 13-16.

PENG Hong-xia. The Thickness of the Breast Capsular as an Indicator of the Severity of Capsular Contraction and its Correlation with Baker Grade[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(14): 13-16.

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