高频超声引导14G粗针活检在乳腺肿块诊断中的应用

Application of high- frequency US- guided 14G core- needle biopsy in the diagnosis of breast masses

目的:探讨高频超声引导下14G粗针活检在乳腺肿块诊断中的应用价值。方法:回顾性分析58例行高频超声引导下14G粗针活检术的乳腺肿块患者的超声、穿刺病理、手术病理及临床资料。结果:超声诊断符合率为93.1%(54/58)。超声引导14G粗针活检病理诊断符合率为100%(58/58)。58例患者有36例行手术治疗,手术病理和穿刺病理符合率为100%(36/36)。取材满意率为96.6%(56/58)。58例均未发现严重并发症。结论:高频超声引导下14G粗针活检术对乳腺肿块的诊断具有确诊率高、创伤小、取材成功率高、并发症少等优势,能为临床治疗提供准确可靠的病理依据,具有较高的临床应用和推广价值。

Objective：To evaluate the value of high-frequency US-guided 14G core needle biopsy in the diag-nosis of breast masses. Methods：Retrospective analysis was performed on ultrasound,pathology and clinical data of 58 patients with the operation of high-frequency ultrasonography-guided 14G core needle biopsy. Results：The coinci-dent ratio of ultrasound diagnose was 93. 1%（54/58）while the coincident ratio of high-frequency ultrasonography-guided 14G core needle biopsy was 100%（58/58）. 36 patients underwent operation treatment and the operation pathology was coincidented with pathological at a ratio of 100%（ 36/36 ）. The satisfaction rate of sampling was 96. 6%（56/58）. No complication was found during hospitalization. Conclusion：High-frequency ultrasonography-guided 14G core needle biopsy provides an accurate,safe,high success rate,less traumatic procedure and fewer com-lications for diagnosis of breast masses. It is important for clinical treatment and of great value in clinical application.