超声介导下BI-RADS4级乳腺肿物行空心针穿刺活检的诊断意义  

Value of core needle biopsy in the diagnosis of breast tumors under Bl-RADS 4

作　　者：隋世尧 许守平[1] 庞达[1] 

机构地区：[1]哈尔滨医科大学附属肿瘤医院乳腺外科一病区,黑龙江哈尔滨150040

出　　处：《现代肿瘤医学》2016年第3期407-409,共3页Journal of Modern Oncology

摘　　要：目的:探讨超声介导下BI-RADS 4级乳腺肿物患者行空心针穿刺活检对肿物性质的诊断价值。方法:随机抽取我科于2014年1月-2014年12月共500例已行手术治疗的乳腺肿块患者,收集其穿刺病理与切检病理(包括术中快速冰冻切片或术后病理)结果,应用SPSS 17.0对其空心针穿刺活检与切除活检结果一致性作比较分析,并将超声下BI-RADS 4级的病例单独列出,检验组间一致性。结果:超声介导下空心针穿刺活检(US-CNB)与切除活检的病理诊断结果符合率为96.23%,BI-RADS 4级病例诊断结果符合率为94.57%,与整体准确率相差不大,与切除活检具有良好的一致性。结论:US-CNB作为对乳腺肿瘤的术前诊断手段之一,对超声下良恶性难以鉴别的BI-RADS 4级乳腺肿物具有较好的诊断价值。Objective： To find the value of core needle biopsy to the patients with breast tumors of BI - RADS 4. Methods ： Collecting 500 patients who had accepted operations in our department to analyze the consistency between core needle biopsy and excision biopsy. Results：The coincidence rate between core needle biopsy and excision biopsy was 96.23% ,and the figure of BI - RADS 4 tumors 94.57% ,the two methods had a high consistency. Conclusion： As a mean of the diagnosis of breast tumors, core needle biopsy has great value for tumors of BI - RADS 4 level.

关 键 词：乳腺肿瘤 空心针活检 BI-RADS 4级 

分 类 号：R737.9[医药卫生—肿瘤]