CAJ | 학술논문

目的：评价基层医院粗针穿刺活检在早期乳腺癌诊断中的应用价值。方法回顾分析已手术病理确诊为ⅡA期以下乳腺癌经超声联合钼靶（US+MG）与粗针穿刺活检（NCB）进行对比，对结果进行对比分析。结果US+MG准确率90.15%，NCB诊断早期乳腺癌诊断准确率100%，χ2=8.7，P<0.05差异有统计学意义；BUS+MG和NCB诊断早期乳腺癌假阳性率分别为9.85%和1.19%，假阴性率分别为6.38%和1.19%。结论NCB不仅在明确诊断方面可以提供的良好的帮助，在诊断准确率上有了明显的提高。NCB可以进一步提高基层医院早期乳腺癌的确诊率并减少漏诊及误诊率。
목적：평개기층의원조침천자활검재조기유선암진단중적응용개치。방법회고분석이수술병리학진위ⅡA기이하유선암경초성연합목파（US+MG）여조침천자활검（NCB）진행대비，대결과진행대비분석。결과US+MG준학솔90.15%，NCB진단조기유선암진단준학솔100%，χ2=8.7，P<0.05차이유통계학의의；BUS+MG화NCB진단조기유선암가양성솔분별위9.85%화1.19%，가음성솔분별위6.38%화1.19%。결론NCB불부재명학진단방면가이제공적량호적방조，재진단준학솔상유료명현적제고。NCB가이진일보제고기층의원조기유선암적학진솔병감소루진급오진솔。
Objective To evaluate needle core biopsy in the diagnosis of early breast cancer in primary hospitals. Methods Retrospective analysis has surgery pathology diagnosed in the stage of ⅡA breast cancer by ultrasonography combined mammography(US+MG)compared with needle core biopsy(NCB), the results were analyzed. Results US+MG diagnostic accuracy was 90.15%, NCB was 100%,χ2=8.7, P<0.05, the difference was statistically signiifcant;BUS+MG and NCB diagnosis of early breast cancer were 9.85%and 1.19%respectively, the rate of false positives false negative rate were 6.38% and 1.19% respectively. Conclusion NCB can deifnitive diagnosis and provide help at diagnostic accuracy rate was obviously improved. NCB will be improved the positive rate of early breast cancer and to reduce missed diagnosis and misdiagnosis rate in primary hospitals.