CAJ | 학술논문

目的探讨不同定位方式对乳腺癌患者术前诊断的价值.方法 146例乳腺癌患者中,超声定位下粗针穿刺74例(超声组),徒手触诊粗针穿刺72例(徒手组),比较两组术后病理检查结果.结果所有病例穿刺后均无严重并发症.超声组假阴性率为5.41%(4/74),徒手组为18.06%(13/72),两组比较差异有统计学意义(U=13.63,P＜0.01).结论术前超声定位下穿刺活检与术后病理检查具有较高的一致性.超声定位穿刺的病理活检正确率要高于徒手定位穿刺的活检正确率,为实际临床工作提供了良好的选择依据.
목적 탐토불동정위방식대유선암환자술전진단적개치.방법 146례유선암환자중,초성정위하조침천자74례(초성조),도수촉진조침천자72례(도수조),비교량조술후병리검사결과.결과 소유병례천자후균무엄중병발증.초성조가음성솔위5.41%(4/74),도수조위18.06%(13/72),량조비교차이유통계학의의(U=13.63,P＜0.01).결론 술전초성정위하천자활검여술후병리검사구유교고적일치성.초성정위천자적병리활검정학솔요고우도수정위천자적활검정학솔,위실제림상공작제공료량호적선택의거.
Objective To explore the value of preoperative diagnosis for breast cancer patients in different locating ways. Methods The tissues were gotten by core needle biopsy from 146 breast cancer patients through different locating ways,and were taken for histopathological examinations and were compared with postoperative pathologic results. Results Seventy-four cases were biopsied with ultrasound-guide (ultrasound-guide group), and 72 cases with free-hand (free-hand group), without serious complications.Compared with postoperative pathologic results,the false negative rate in ultrasound-guide group was 5.41%(4/74);the false negative rate in free-hand group was 18.06% (13/72). The accuracy of the ultrasound-guided biopsy was higher than that in free-hand (U = 13.63,P ＜ 0.01 ). Conclusions Preoperative ultrasoundguided biopsy and postoperative pathologic examination has no significant difference, with high consistency.The study provides a good basis for selection for clinical work,so as to the more effective guide for the comprehensive treatment of breast cancer patients.