超声引导下穿刺活检乳腺肿物的临床研究  

Clinical research on sonography-guided core needle biopsy in breast masses

作　　者：黄伟俊[1] 徐庆华[1] 谢守松[1] 谭咏韶[1] 陈泳愉[1] 方慧[1] 黄婷[1] 

机构地区：[1]佛山市第一人民医院超声科,广东528000

出　　处：《影像诊断与介入放射学》2009年第2期71-73,共3页Diagnostic Imaging & Interventional Radiology

摘　　要：目的探讨超声引导下粗针穿刺活检在乳腺肿物诊断中的价值,比较14G及16G活检针的优缺点。方法高频超声引导下14G或16G活检针经皮穿刺活检150例乳腺肿物,以术后病理诊断为标准,分析经皮粗针活检对乳腺肿物的诊断准确性。结果150例乳腺病灶穿刺活检准确率约87.3%。68例用14G针活检,取材成功率91.3%,并发症7.3%;72例用16G针活检,取材成功率91.7%,并发症8.3%。结论超声引导14G及16G针穿刺活检同样具有成功率高、安全、病理组织学诊断准确率高等优点,可为临床诊断和治疗提供重要依据。Objective To investigate the value of sonography-guided core needle biopsy in breast masses and to compare the accuracy and safety with 14G and 16G needle in biopsy. Methods 150 breast masses received sonography-guided needle （14G/16G） biopsy, and comparing with the results of operative pathology, the accuracy of diagnoses by biopsy was analyzed. Results The diagnosis accuracy of sonography-guided ueedle（14G/16G） biopsy was 92.7%. 14G was applied in 68 cases and 16G in 72 cases, with the accuracy of successfully puncturing and complication at 91.3%, 7.3% and 9L7%, 8.3% respectively. Conclusion No significant difference was found between the two types of needles. Sonography-guided needle biopsy provides a safe, accurate and less traumatic procedure for diagnosis in breast masses.

关 键 词：超声引导 活检 乳腺肿物 

分 类 号：R737.9[医药卫生—肿瘤] R730.41[医药卫生—临床医学]