超声引导微创活组织检查术对乳腺癌诊断价值的研究  

Study of mammotome minimally invasive biopsy on the diagnosis of breast cancer

作　　者：张蕾[1] 孙庆旭 

机构地区：[1]山东省临沂市人民医院超声科,山东临沂276003 [2]山东省临沂市肿瘤医院普外科,山东临沂276001

出　　处：《中国现代普通外科进展》2008年第3期210-212,共3页Chinese Journal of Current Advances in General Surgery

摘　　要：目的:观察超声引导下mammotome微创活检术(mammotomeminimallyinvasivebiopsy,MMIBS)对乳腺癌的诊断价值。方法:对80例术后病理组织学检查确诊的乳腺癌患者,术前行超声引导下MMIBS和针吸细胞学检查(fineneedleaspirationcytology,FNAC),比较两种诊断方法的诊断符合率、漏诊率以及不同肿块大小和病理类型的诊断符合率。结果:80例乳腺癌,MMIBS和FNAC诊断符合率分别为97.5%和75.0%(P<0.05),漏诊率分别为2.5%和25.0%(P<0.05);肿块直径≤1.0cm,1.1～2.0cm的诊断符合率分别是86.7%,100.0%和40.0%,70.0%(P<0.05);肿块直径2.1～5.0cm和>5.0cm以及除浸润性导管癌外其他的病理类型的乳腺癌诊断符合率两种检查方法差异无统计学意义。结论:超声引导下MMIBS对乳腺癌的诊断具有高确诊率、低漏诊率,安全、微创等特点。Objective： To explore the clinical value of mammotome minimally invasive biopsy （MMIBS） on breast cancer. Methodsz Eighty patients with breast cancer were subjected to MMIBS and FNAC （fine needle aspiration cytelogy） under the guidance of ultrasound . The diagnostic value of two methods was evaluated. Results： The needle positions in 80 patients were all visualized （100.0%） under the guidance of ultrasound. Among them, the diagnostic accordance rate of MMIBS and FNAC was 97.5% and 75.0%（P〈 0.05）. The rate of missed diagnosis of MMIBS and FNAC was 2.5% and 25.0% respectively （P〈0.05）. Conclusion： MMIBS had the characteristic of micro-invasion, high definitive and low missed diagnosis rate.

关 键 词：乳腺肿瘤 超声学 诊断技术 外科学 活组织检查 针吸 病理学 外科 

分 类 号：R737.9[医药卫生—肿瘤]