CAJ | 학술논문

目的：探讨粗针经皮穿刺活检乳腺肿物的临床价值。方法对108例超声诊断BI-RADS分类Ⅲ类以上的乳腺肿块用16 G活检针经皮穿刺活检,所有病例均手术治疗,且以术后病理结果为诊断标准。结果108例患者的乳腺肿物中,穿刺活检诊断乳腺癌66例,术后病理诊断乳腺癌69例,穿刺活检病理诊断假阴性3例。穿刺活检诊断乳腺癌的灵敏度为95.7%,特异度100%,穿刺准确率97.2%,阳性预测值100%,阴性预测值92.6%,约登指数0.957,Kappa值为0.941(P<0.01)。结论经皮粗针穿刺活检乳腺肿物具有较高的准确性,与术后病理结果一致性高,且创伤小,痛苦轻,是基层医院确诊乳腺肿物性质的重要方法,值得推广应用。
목적：탐토조침경피천자활검유선종물적림상개치。방법대108례초성진단BI-RADS분류Ⅲ류이상적유선종괴용16 G활검침경피천자활검,소유병례균수술치료,차이술후병리결과위진단표준。결과108례환자적유선종물중,천자활검진단유선암66례,술후병리진단유선암69례,천자활검병리진단가음성3례。천자활검진단유선암적령민도위95.7%,특이도100%,천자준학솔97.2%,양성예측치100%,음성예측치92.6%,약등지수0.957,Kappa치위0.941(P<0.01)。결론경피조침천자활검유선종물구유교고적준학성,여술후병리결과일치성고,차창상소,통고경,시기층의원학진유선종물성질적중요방법,치득추엄응용。
Objective To explore the clinical value of percutaneous core needle biopsy in breast neoplasms. Methods 108 cases with breast neoplasms BI-RADS of class Ⅲ through ultrasound diagnosis was given needle percutaneous core needle biopsy of 16 G,all patients were treated with operation,and the postoperative pathological results as diag-nostic criteria. Results There were 69 cases of breast cancer in the final diagnosis after surgical excision among 108 breast lesions and 66 cases of them were diagnosed by core needle biopsy,3 cases of false negative breast cancer were diagnosed by core needle biopsy.The sensitivity of core needle biopsy was 95.7%,specificity was 100%,the puncture ac-curacy rate was 97.2%,positive predictive value and negative predictive value were 100%and 92.6% respectively,Your-don’s index was 0.957,the value of Kappa was 0.941(P<0.01). Conclusion Percutaneous core needle puncture biopsy of breast neoplasms has high accuracy and great consistency with postoperative pathological examination,minimally inva-sive,less pain,which is an important method for basic level hospital diagnosed breast neoplasms in nature,and it is wor-thy of popularization and application.