中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
29期
72-75,83
,共5页
谭齐鸣%易爱姣%肖君%李波涌
譚齊鳴%易愛姣%肖君%李波湧
담제명%역애교%초군%리파용
超声%乳腺穿刺活检术%乳腺微小肿块%诊疗价值
超聲%乳腺穿刺活檢術%乳腺微小腫塊%診療價值
초성%유선천자활검술%유선미소종괴%진료개치
Ultrasound%Breast biopsy%Small breast lump%Diagnosis value
目的：探究超声引导下乳腺穿刺活检术对乳腺微小肿块的临床诊疗价值。方法随机选取2009年10月~2013年10月湖南省岳阳市一人民医院乳腺微小肿块患者60例，对其行超声引导下乳腺穿刺活检术。记录超声成像和病理诊断结果。结果超声诊断结果有15例良性和41例恶性，病理诊断结果有16例良性和43例恶性。二者比较差异无统计学意义(P>0.05)。对比观察结果可见，乳腺癌患者的病灶形态不完整，边缘光滑程度差，回声多不均匀，后方回声衰减程度大，病灶钙化严重，纵横比明显偏高，超声声像图病灶形态特征与乳腺癌微小肿块比较，血流速度峰值(SPVmax)及阻力指数(RI)较高，且血流分级以Ⅱ、Ⅲ级为主。结论超声引导下穿刺活检技术可以有效诊断和治疗乳腺微小肿块。超声可有效确定病变区域和性质。穿刺活检术可有效取样并利于治疗。因此，临床上可推广使用此方法治疗乳腺肿块患者。
目的：探究超聲引導下乳腺穿刺活檢術對乳腺微小腫塊的臨床診療價值。方法隨機選取2009年10月~2013年10月湖南省嶽暘市一人民醫院乳腺微小腫塊患者60例，對其行超聲引導下乳腺穿刺活檢術。記錄超聲成像和病理診斷結果。結果超聲診斷結果有15例良性和41例噁性，病理診斷結果有16例良性和43例噁性。二者比較差異無統計學意義(P>0.05)。對比觀察結果可見，乳腺癌患者的病竈形態不完整，邊緣光滑程度差，迴聲多不均勻，後方迴聲衰減程度大，病竈鈣化嚴重，縱橫比明顯偏高，超聲聲像圖病竈形態特徵與乳腺癌微小腫塊比較，血流速度峰值(SPVmax)及阻力指數(RI)較高，且血流分級以Ⅱ、Ⅲ級為主。結論超聲引導下穿刺活檢技術可以有效診斷和治療乳腺微小腫塊。超聲可有效確定病變區域和性質。穿刺活檢術可有效取樣併利于治療。因此，臨床上可推廣使用此方法治療乳腺腫塊患者。
목적：탐구초성인도하유선천자활검술대유선미소종괴적림상진료개치。방법수궤선취2009년10월~2013년10월호남성악양시일인민의원유선미소종괴환자60례，대기행초성인도하유선천자활검술。기록초성성상화병리진단결과。결과초성진단결과유15례량성화41례악성，병리진단결과유16례량성화43례악성。이자비교차이무통계학의의(P>0.05)。대비관찰결과가견，유선암환자적병조형태불완정，변연광활정도차，회성다불균균，후방회성쇠감정도대，병조개화엄중，종횡비명현편고，초성성상도병조형태특정여유선암미소종괴비교，혈류속도봉치(SPVmax)급조력지수(RI)교고，차혈류분급이Ⅱ、Ⅲ급위주。결론초성인도하천자활검기술가이유효진단화치료유선미소종괴。초성가유효학정병변구역화성질。천자활검술가유효취양병리우치료。인차，림상상가추엄사용차방법치료유선종괴환자。
Objective To research the clinical diagnosis value of applying breast biopsy guided by ultrasound diagnos-ing in patients with small breast lump. Methods Sixty cases of patients with small breast lump in the First People's Hospital of Yueyang City from October 2009 to October 2013 were selected randomly. They were diagnosed by breast biopsy guided by ultrasound. The results of ultrasonic image and pathological diagnosis were recorded. Results There were 15 cases of benign and 41 cases of malignant according to the ultrasonic image. There were 16 cases of benign and 43 cases of malignant according to the result of pathological diagnosis. There was no obvious difference between the two groups (P> 0.05). The ultrasound morphological characteristics of patients with breast cancer were significantly different from the patients with proliferation of mammary gland, the values of SPVmax and RI were higher, and there was a predominance ofII andⅢ grades patients in grade of blood flow. Conclusion Breast biopsy guided by ultrasound is well in diagnosing patients with small breast lump. Ultrasound can determine the exact position and character of lesion area. Breast biopsy can sampling effectively and is beneficial to treating. Therefore, this method can be popularizing in clinic to treat breast lump patients.
