乳腺肿块核芯针穿刺活检的临床应用  

Clinical application of core needle puncture on breast lump Biopsy

作　　者：朱晓琴[1] 罗凤[1] 

机构地区：[1]重庆医科大学附属第一医院普外科,重庆400016

出　　处：《现代医药卫生》2007年第9期1267-1268,共2页Journal of Modern Medicine & Health

摘　　要：目的:探讨经皮核芯针穿刺活检乳腺肿块的临床应用价值。方法:对138例乳腺肿块患者术前行经皮核芯针穿刺,取得病理学诊断后再与手术病检结果进行对比,分析其诊断价值。结果:138例中穿刺成功137例,1例穿刺失误(所取为脂肪组织),穿刺成功率为99.28%。术前穿刺活检诊断乳腺癌87例,良性病变47例,乳腺组织3例,脂肪组织伴出血1例。135例患者施行了手术,经手术病检证实其诊断符合率达92.75%,假阴性率占7.2%,无假阳性,阳性预测值100%。结论:经皮核芯针穿刺活检创伤小、操作简单安全、诊断准确率较高,是乳房肿块定性诊断的首选方法。Objective：To study the clinical application value of transdermic core needle puncture on breast lump biopsy.Methods： The results of transdermic core needle puncture pathology and postoperative pathology in 138 cases of breast lump were compared to analyze the diagnostic value of core needle puncture.Resnits：Of 138 cases with core needle puncture,137 cases were successful（with successful rate of 99.28%） and 1 case was failed with puncture of fatty tissue.According to preoperative core needle puncture biopsy,87 cases were diagnosed as breast cuncer,47 cases were diagnosed as benign lesions 3 cases were breast tissues and 1 case was fatty tissue with bleeding.135 cases underwent operation treatment.It was cartified by Postsperative pathology that its diagnostic accordance rate was 92.75%,the false negative rate was 7.2% and no false postive.Conclusion：Transdermic core needle biopsy is the first choice of breast lump diagnosis for its high diagnostic rate and little trauma,safety and simple manipulation.

关 键 词：乳腺肿块 核芯针 穿刺活检 诊断 

分 类 号：R6[医药卫生—外科学]