传统显微镜和数字全切片成像仪在乳腺活检和癌症诊断中准确性方面的比较研究  

Comparative Study on the Accuracy of Traditional Microscope and Digital Full-Slice Imaging in Breast Biopsy and Cancer Diagnosis

作　　者：郑艺辉 郑惠 陈达阳 许艺真 吴永和 ZHENG Yi-hui;ZHENG Hui;CHEN Da-yang;XU Yi-zhen;WU Yong-he(Zhangpu County Hospital,Fujian Zhangzhou 363200;Zhangzhou Affiliated Hospital of Fujian Medical University,Fujian Zhangzhou 363000)

机构地区：[1]漳浦县医院,福建漳州363200 [2]福建医科大学附属漳州市医院,福建漳州363000

出　　处：《中国医疗器械信息》2024年第17期83-85,共3页China Medical Device Information

摘　　要：目的:探讨传统显微镜和数字全切片成像仪在乳腺活检和癌症诊断中准确性的比较。方法:使用数字全切片成像仪和传统显微镜,对2022年1月~2023年1月来漳州市医院和漳浦县医院做病理检测的240例患者的病理样本进行检测,通过比较两种仪器对相同病例的解读,来评估不同仪器对这些病例的准确性以及再现性。结果:从传统显微镜与数字全切片成像仪在良性无异型(82%<90%,P<0.05)、非典型增生(46%<54%,P<0.05)、导管原位癌(83%<88%,P<0.05)和浸润性乳腺癌(94%<97%,P<0.05)在诊断的准确性比较上可以看出,数字全切片成像仪的准确性更高。此外,在病理解释再现性方面,数字全切片成像仪的准确性也高于传统显微镜(83%>79%,P<0.05)。结论:传统显微镜和数字全切片成像仪在乳腺活检和癌症诊断方面的准确率均较高,但是数字全切片成像仪的准确性更优秀。Objective:To compare the accuracy of traditional microscope and digital full-slice imaging in breast biopsy and cancer diagnosis.Methods:Using digital full-slice imager and traditional microscope,the pathological samples of 240 patients who came to Zhangzhou City Hospital and Zhangpu County Hospital for pathological examination from January 2022 to January 2023 were detected.By comparing the interpretation of the same cases by the two instruments,the accuracy and reproducibility of these cases by different instruments were evaluated.Results:Compared with traditional microscope and digital whole section imager in the diagnosis accuracy of benign dysplasia(82%<90%,P<0.05),atypical hyperplasia(46%<54%,P<0.05),ductal carcinoma in situ(83%<88%,P<0.05)and invasive breast cancer(94%<97%,P<0.05),digital whole section imager has higher accuracy.In addition,the accuracy of digital full-slice imager was higher than that of traditional microscope(83%>79%,P<0.05).Conclusion:Both traditional microscope and digital full-slice imaging have higher accuracy in breast biopsy and cancer diagnosis,but the accuracy of digital full-slice imaging is better.

关 键 词：数字全切片成像仪 传统显微镜 乳腺活检 癌症诊断 

分 类 号：R445[医药卫生—影像医学与核医学]