乳腺占位性病变诊断中高频超声定位引导下旋切穿刺活检术的应用

Application of high-frequency ultrasound-guided percutaneous needle biopsy in the diagnosis of breast occupying lesions

目的:探讨高频超声定位引导下旋切穿刺活检术在乳腺占位性病变诊断中的应用价值。方法:以300例乳腺占位性病灶患者作为研究对象,使用高频超声引导下乳房旋切穿刺针活检装置进行活检,分析超声检查与病理检查的诊断符合率。结果:300例患者中68例患者为双侧实质性肿块、232例为单侧肿块,其中纤维腺瘤146例、纤维腺瘤+乳腺增生37例、乳腺增生41例、囊腺瘤39例、乳头状瘤26例、浸润性乳腺癌11例;所有病灶均一次性完成穿刺且被完整切除,成功率100.0%;超声检查与病理诊断符合率为95.3%(286/300)。结论:高频超声引导下定位乳腺占位性病变旋切穿刺活检术操作简单、安全、诊断准确率高,为临床诊断、治疗、研究提供重要的依据,可推广使用。

Objective： To evaluate the value of high-frequency ultrasound-guided percutaneous transthoracic needle biopsy in the diagnosis of breast occupying lesions. Methods： 300 patients with breast lesions were chosen as the research objects. The ultrasound-guided biopsy of breast biopsy was performed on them,the diagnostic coincidence rate of biopsy results and pathology analyzed. Results： Of 300 patients,68 patients had bilateral parenchymal masses and 232 patients had unilateral mass,including 146 patients with fibroadenoma,37 patients with fibroadenoma ＋ hyperplasia of mammary glands,41 patients with hyperplasia of mammary glands,39 patients with cystadenoma,26 patients with papilloma and 11 patients with invasive breast cancer. All the pathological lesions were completed by a single puncture and removed completely,with a success rate of 100. 00 %. The coincidence rate of ultrasonography and pathological diagnosis was 95. 33 %（ 286/300）.Conclusion： The high-frequency ultrasound-guided percutaneous needle biopsy of breast occupying venereal disease is simple,safe and accurate. It can shorten the operation time,reduce the damage of gland and high diagnosis accuracy and provide an important evidence for clinical diagnosis,treatment and research,worthy of promotion.