乳腺疾病彩色超声定位下空芯针穿刺活体组织检查与手术切除活体组织检查诊断的一致性分析  

Analysis of the Consistency between Core Needle Biopsy by Color Ultrasound Location and Surgical Biopsy in the Diagnosis of Breast Diseases

作　　者：崔彬[1] 黄恒[2] 姜汉国[3] 

机构地区：[1]廉江市人民医院病理科,广东廉江524400 [2]廉江市人民医院乳腺外科,广东廉江524400 [3]广东医学院病理教研室

出　　处：《华西医学》2016年第7期1240-1242,共3页West China Medical Journal

基　　金：湛江市科技攻关计划项目(2012C3106062)~~

摘　　要：目的探讨乳腺疾病彩色超声定位下空芯针穿刺活体组织检查(CNB)与手术切除活体组织检查诊断的一致性。方法回顾性分析2012年3月-2015年3月收治的218例乳腺疾病患者乳腺病灶的超声引导下CNB病理学检查结果,并与术后组织病理学诊断结果进行比较,以评估超声引导CNB诊断乳腺病灶的价值。结果 218例乳腺病灶组织中,CNB病理诊断乳腺癌156例,术后病理组织学诊断乳腺癌160例,CNB病理诊断假阴性4例。两种方法具有高度一致性(Kappa=0.958,P<0.001)。CNB病理诊断乳腺癌的灵敏度为97.5%。特异度为100.0%,准确率为98.2%。结论 CNB组织病理诊断乳腺病灶具有较高的准确性,与术后病理组织学诊断结果一致性较高,是一种可靠的乳腺病灶活体组织检查方法。Objective To explore the consistency between core needle biopsy（CNB） by color ultrasound location and surgical biopsy in the diagnosis of breast diseases.Methods Between March 2012 and March 2015,the results of ultrasound-guided CNB pathological examination of 218 cases of breast diseases were retrospectively analyzed,which were compared with the results of postoperative histopathological diagnosis to evaluate the ultrasound-guided CNB diagnosis.Results In the 218 cases,156 of mammary cancer were confirmed by CNB histopathological diagnosis,and 160 were confirmed by the postoperative pathological histological diagnosis;the false negative diagnosis by CNB pathological diagnosis was 4.The two methods were highly matched with each other（k=0.958,P 〈0.001）.The sensitivity of CNB histopathological diagnosis for mammary cancer was 97.5%,while the specificity was 100.0%and the accuracy rate was98.2%.Conclusion CNB histopathologic diagnosis of breast lesions had high accuracy and high consistency with postoperative histopathological diagnosis results,which is a reliable biopsy method for breast lesions.

关 键 词：乳腺癌 空芯针穿刺活体组织检查 病理学检查 

分 类 号：R737.9[医药卫生—肿瘤] R445.1[医药卫生—临床医学]