摘要
目的探讨超声引导下穿刺活检在乳腺肿块中的诊断价值。方法选取进行乳腺肿块检查且超声提示BI．RADS1V类以上的患者50例作为研究对象，均在超声引导下行穿刺活检，并进行病理检查。将穿刺病理结果与术后病理诊断的最终结果比较，观察患者超声引导下穿刺活检诊断的灵敏度和特异度，以及对各个类型乳腺肿块检查的准确率。结果50例乳腺肿块患者在超声引导下均成功穿刺，以术后病理结果为诊断标准，穿刺活检结果16例良性病变，34例非良性病变；术后病理检查结果13例良性病变，37例非良性病变；超声引导下穿刺活检的灵敏度为89．19％，特异度为92．31％。穿刺活检结果16例良性肿瘤，准确率为81．25％；27例恶性结果，准确率为92．59％；7例高危结果，准确率为57．14％。与良恶性结果诊断准确率比较，高危结果诊断准确率最低（）（2=20．802，P〈0．01）。结论超声引导下穿刺活检能够较好地鉴别乳腺肿块的良恶性质，准确度高，创伤小，安全可靠，对于乳腺肿块的诊断具有重要的临床应用价值。
Objective To explore the diagnostic value of ultrasound -guided puncture biopsy in breast masses. Methods 50 patients were enrolled in this study for breast mass examination and ultrasound presentation of BI - RADS class IV. All the patients underwent ultrasound - guided biopsy and pathological examination. The pathological results of the biopsy were compared with the final results of pathological diagnosis. The sensitivity and specificity of ultrasound - guided biopsy,and the accuracy of each type of breast mass examination were observed. Results 50 cases of breast masses were successfully punctured under ultrasound guidance, the postoperative pathological results were the diagnostic criteria. The puncture biopsy results showed that 16 cases of benign lesions and 34 cases of non - benign lesions. The postoperative pathological examination results showed that 13 cases of benign lesions, 37 cases of non - benign lesions,the sensitivity and the specificity of the biopsy was 89. 19% and 92. 31%. Pathological puncture results showed 16 cases of benign tumors with an accuracy rate of 8 I. 25 % ,27 cases of malignant tumors, the accuracy rate was 92.59% ,7 cases of high risk, the accuracy rate was 57.14%. Compared with the accuracy of the diagnosis of benign and malignant results, the diagnostic accuracy of high - risk results was the lowest （ X2 = 20. 802, P 〈 0.01 ）. Conclusion Ultrasound - guided puncture biopsy can better identify the benign and malignant nature of breast masses, with high accuracy, small trauma, it is safe and reliable, and has important clinical value for the diagnosis of breast mass,which can provide a reliable basis for further clinical treatment scheme.
出处
《中国基层医药》
CAS
2017年第24期3697-3700,共4页
Chinese Journal of Primary Medicine and Pharmacy
基金
浙江省三门县科技计划项目（14302）
