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