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超声引导经皮穿刺活检诊断乳腺占位性病变的可行性及有效性分析 被引量:10

Feasibility and Effectiveness of Ultrasound-guided Percutaneous Biopsy in Diagnosis of Breast SpaceoccupyingLesions
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摘要 目的:探讨乳腺占位性病变诊断中超声引导经皮穿刺活检的可行性及有效性。方法:选取2017年1月—2018年11月我院收治的102例乳腺占位性病变患者,对患者进行超声引导经皮穿刺活检和超声活检诊断,并以病理诊断为参考依据。分析乳腺占位病变超声诊断价值和乳腺占位性病变超声经皮穿刺活检的诊断价值,比较超声活检诊断和乳腺占位性病变超声引导诊断价值。结果:超声诊断与病理诊断结果无明显差异(P>0.05),超声引导活检诊断与病理诊断结果无明显差异(P>0.05),超声活检诊断和乳腺占位性病变超声引导诊断在灵敏度、特异度、符合率、漏诊率和误诊率方面存在显著差别(P<0.05),超声引导经皮穿刺活检的诊断效能优于超声诊断。结论:对乳腺癌患者进行超声引导经皮穿刺活检,不仅诊断效果理想,而且大大降低了患者诊断过程的漏诊率和误诊率,提高了诊断准确度,降低了并发症的发生。 Objective To investigate the feasibility and effectiveness of ultrasound-guided percutaneous biopsy in the diagnosis of breast occupying lesions.Methods A total of 102 patients with breast lesions admitted to our hospital from January 2017 to November 2018 were enrolled.Ultrasound-guided percutaneous biopsy and ultrasound biopsy were performed.The pathological diagnosis was used as a reference.To analyze the diagnostic value of ultrasound diagnosis of breast lesions and ultrasound percutaneous biopsy of breast lesions,and to compare the value of ultrasound biopsy diagnosis and ultrasound guidance diagnosis of breast occupying lesions.Results There was no significant difference between ultrasound diagnosis and pathological diagnosis(P>0.05).There was no significant difference between ultrasound-guided biopsy diagnosis and pathological diagnosis(P>0.05).There were significant differences in sensitivity,specificity,compliance rate,missed diagnosis rate and misdiagnosis rate(P<0.05)in ultrasound biopsy diagnosis and breast-based lesions guided by ultrasound.The diagnostic efficacy of ultrasound-guided percutaneous biopsy is better than ultrasound.Conclusion Ultrasound-guided percutaneous biopsy for breast cancer patients not only has a good diagnostic effect,but also greatly reduces the rate of missed diagnosis and misdiagnosis in the diagnosis process,improving the diagnostic accuracy and reducing the occurrence of complications.
作者 邢静 王一清 沈加君 XING Jing;WANG Yi-qing;SHEN Jia-jun(Department of Ultrasonography,Zhejiang Xin'an International Hospital,Jiaxing,Zhejiang,(314000),China)
出处 《中国中西医结合外科杂志》 CAS 2020年第2期304-307,共4页 Chinese Journal of Surgery of Integrated Traditional and Western Medicine
关键词 乳腺占位性病变 超声引导 皮穿刺活检 可行性 有效性 Breast space-occupying lesions ultrasound-guided skin biopsy feasibility effectiveness
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  • 1黄怡,刘瑞,唐岩,余永伟.胰腺结核五例临床分析并文献复习[J].中华结核和呼吸杂志,2004,27(8):568-569. 被引量:11
  • 2FANG Wen-tao,XU Mei-ying,CHEN Gang,CHEN Yong,CHEN Wen-hu.Minimally invasive approaches for histological diagnosis of anterior mediastinal masses[J].Chinese Medical Journal,2007(8):675-679. 被引量:8
  • 3金震东,王东,李兆申,邹多武,湛先保,陈洁,许国铭.内镜超声引导下细针穿刺活检对胰腺占位性病变的诊断价值[J].中华消化内镜杂志,2007,24(5):326-330. 被引量:19
  • 4陈伟,黄学全,王健,陆明,蔡萍,张雪梅,丁仕义,周代全,黎川,刘凤秀,谢兵,张永克.CT透视引导下的纵隔小病灶穿刺活检的临床价值[J].介入放射学杂志,2007,16(12):841-843. 被引量:9
  • 5Socolov D,Anghelache I,Ilea C,et al.Benign breast disease and the risk of breast cancer in the next 15 years [J].Rev Med Chir Soc Med Nat Iasi,2015,119(1):135-140.
  • 6Masroor I,Afzal S,Shafqat G,et al.Usefulness of hook wire lo- calization biopsy under imaging guidance for nonpalpable breast lesions detected radiologically [J].Int J Womens Health,2012,4(6):445-449.
  • 7Collins LG,Schnitt SJ.Papillary lesions of the breast:selected diagnostic and management issues [J].J Histopathology 2008,52(1):20-29.
  • 8Ohenauer S5Hermann KP,Grahbe E.Applications and literature review of the BI-RADS classification [J].Eur Radiol,2005,15(5):1027-1036.
  • 9Houslleu Demay ML,Monghal C,Bertrand P,et al.An assess- ment of the performance of elastography for thft investigation of BI-RADS 4 and BI-RADS 5breast lesions:Correlations with pathological anatomy findings [J].Diagn Interv Imaging,2012,93(10):757-766.
  • 10Escobar PF,Crowe JP,Matsunaga T,et al.The clinical applica- tions of mammary fiuctoscopy [J].Am J Surg,2006,191(2):211-215.

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