基层医院粗针穿刺活检在早期乳腺癌诊断中的应用研究姜越  

Study and Apply of Needle Core Biopsy Diagnosis Early Breast Cancer in Primary Hospital

作　　者：姜越 龚建安 梁盛枝 邓博 徐维 王铮 吴跃锐 

机构地区：[1]广东省佛山市顺德区桂洲医院外三科,广东佛山528300

出　　处：《中国医药指南》2014年第9期24-25,共2页Guide of China Medicine

摘　　要：目的评价基层医院粗针穿刺活检在早期乳腺癌诊断中的应用价值。方法回顾分析已手术病理确诊为ⅡA期以下乳腺癌经超声联合钼靶(US+MG)与粗针穿刺活检(NCB)进行对比,对结果 进行对比分析。结果 US+MG准确率90.15%,NCB诊断早期乳腺癌诊断准确率100%,χ2=8.7,P<0.05差异有统计学意义;BUS+MG和NCB诊断早期乳腺癌假阳性率分别为9.85%和1.19%,假阴性率分别为6.38%和1.19%。结论 NCB不仅在明确诊断方面可以提供的良好的帮助,在诊断准确率上有了明显的提高。NCB可以进一步提高基层医院早期乳腺癌的确诊率并减少漏诊及误诊率。Objective To evaluate needle core biopsy in the diagnosis of early breast cancer in primary hospitals. Methods Retrospective analysis has surgery pathology diagnosed in the stage of [I A breast cancer by ultrasonography combined mammography（US＋MG）compared with needle core biopsy（NCB）, the results were analyzed. Results US＋MG diagnostic accuracy was 90.15%, NCB was 100%, X^2=8.7, P〈0.05, the difference was statistically significant; BUS＋MG and NCB diagnosis of early breast cancer were 9.85% and 1.19% respectively, the rate of false positives false negative rate were 6.38% and 1.19% respectively. Conclusion NCB can definitive diagnosis and provide help at diagnostic accuracy rate was obviously improved. NCB will be improved the positive rate of early breast cancer and to reduce missed diagnosis and misdiagnosis rate in primary hospitals.

关 键 词：粗针穿刺活检 早期乳腺癌 超声 钼靶 基层医院 

分 类 号：R737.9[医药卫生—肿瘤]