不同定位方式对乳腺肿物穿刺活检术的诊断价值  

Diagnostic value of breast mass biopsy in different locating methods

作　　者：赵嫚[1] 乔婉晴[1] 曲文志[1] 于作夫[1] 涂巍[1] 

机构地区：[1]中国医科大学附属第四医院乳腺外科,沈阳110032

出　　处：《中国医师进修杂志》2011年第11期33-34,共2页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨不同定位方式对乳腺癌患者术前诊断的价值。方法146例乳腺癌患者中，超声定位下粗针穿刺74例（超声组），徒手触诊粗针穿刺72例（徒手组），比较两组术后病理检查结果。结果所有病例穿刺后均无严重并发症。超声组假阴性率为5．41％（4／74），徒手组为18．06％（13／72），两组比较差异有统计学意义（U=13．63，P〈0．01）。结论术前超声定位下穿刺活检与术后病理检查具有较高的一致性。超声定位穿刺的病理活检正确率要高于徒手定位穿刺的活检正确率，为实际临床工作提供了良好的选择依据。Objective To explore the value of preoperative diagnosis for breast cancer patients in different locating ways. Methods The tissues were gotten by core needle biopsy from 146 breast cancer patients through different locating ways, and were taken for histopathological examinations and were compared with postoperative pathologic results. Results Seventy-four cases were biopsied with ultrasound-guide （ultrasound-guide group）,and 72 cases with free-hand （free-hand group）, without serious complications. Compared with postoperative pathologic results, the false negative rate in ultrasound-guide group was 5.41% （4/74）;the false negative rate in free-hand group was l 8.06% （ 13/72 ）. The accuracy of the ultrasound-guided biopsy was higher than that in free-hand （U = 13.63,P 〈 0.01 ）. Conclusions Preoperative ultrasoundguided biopsy and postoperative pathologic examination has no significant difference, with high consistency. The study provides a good basis for selection for clinical work, so as to the more effective guide for the comprehensive treatment of breast cancer patients.

关 键 词：活组织检查 针吸 乳腺肿瘤 

分 类 号：R737.9[医药卫生—肿瘤]