当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2015年
25期
59-60
,共2页
乳腺肿块%B超%空芯针穿刺活检
乳腺腫塊%B超%空芯針穿刺活檢
유선종괴%B초%공심침천자활검
Breast mass%Bultrasound%Core needle biopsy
目的：探析B超引导空芯针穿刺活检在可触及的乳腺肿块的临床应用价值。方法选取收治的乳腺肿块（肿块>5cm）患者104例，均在超声的引导下行空芯穿刺活检及病理学的检查。肿块在穿刺结果显示后均给予外科手术切除。观察穿刺术后近远期的并发症情况。结果107个乳腺肿块中，穿刺活检病理报告显示浸润性乳腺癌的肿物87个（81.3%），剩余20例为良性病变，14例纤维肿瘤、3例炎性病变、2例乳腺增生、1例不典型增生；双侧乳腺肿物患者中，1例为双侧均为浸润性乳腺癌，2例为一侧浸润性乳腺癌，对侧为纤维乳腺瘤，敏感度与特异性分别为99.3%与100.0%，阴性回报率较高为96.8%，Youden指数为0.97，假阴率为0.9%。穿刺术后出现部位血肿的患者2例，穿刺区出现皮下瘀斑的患者45例，无感染病例。结论在超声引导下行空芯针穿刺活检是诊断乳腺肿块和乳腺癌有效、安全的临床方法。
目的：探析B超引導空芯針穿刺活檢在可觸及的乳腺腫塊的臨床應用價值。方法選取收治的乳腺腫塊（腫塊>5cm）患者104例，均在超聲的引導下行空芯穿刺活檢及病理學的檢查。腫塊在穿刺結果顯示後均給予外科手術切除。觀察穿刺術後近遠期的併髮癥情況。結果107箇乳腺腫塊中，穿刺活檢病理報告顯示浸潤性乳腺癌的腫物87箇（81.3%），剩餘20例為良性病變，14例纖維腫瘤、3例炎性病變、2例乳腺增生、1例不典型增生；雙側乳腺腫物患者中，1例為雙側均為浸潤性乳腺癌，2例為一側浸潤性乳腺癌，對側為纖維乳腺瘤，敏感度與特異性分彆為99.3%與100.0%，陰性迴報率較高為96.8%，Youden指數為0.97，假陰率為0.9%。穿刺術後齣現部位血腫的患者2例，穿刺區齣現皮下瘀斑的患者45例，無感染病例。結論在超聲引導下行空芯針穿刺活檢是診斷乳腺腫塊和乳腺癌有效、安全的臨床方法。
목적：탐석B초인도공심침천자활검재가촉급적유선종괴적림상응용개치。방법선취수치적유선종괴（종괴>5cm）환자104례，균재초성적인도하행공심천자활검급병이학적검사。종괴재천자결과현시후균급여외과수술절제。관찰천자술후근원기적병발증정황。결과107개유선종괴중，천자활검병리보고현시침윤성유선암적종물87개（81.3%），잉여20례위량성병변，14례섬유종류、3례염성병변、2례유선증생、1례불전형증생；쌍측유선종물환자중，1례위쌍측균위침윤성유선암，2례위일측침윤성유선암，대측위섬유유선류，민감도여특이성분별위99.3%여100.0%，음성회보솔교고위96.8%，Youden지수위0.97，가음솔위0.9%。천자술후출현부위혈종적환자2례，천자구출현피하어반적환자45례，무감염병례。결론재초성인도하행공심침천자활검시진단유선종괴화유선암유효、안전적림상방법。
Objective To probe into the clinical application of B ultrasound guided core needle biopsy in breast masses can be touched. Methods 104 cases with breast mass (mass>5cm) was selected in our hospital both in the ultrasound guided air core biopsy and pathological examination. All the mass in the puncture showed were treated with surgical operation excision. Short term and long-term complications of puncture were observed after operation.Results 107 of breast lesions, biopsy pathology report showed invasive breast cancer tumors 87 (81.3%), the remaining 20 cases showed benign lesions: three inlfammatory lesions, fourteen ifbroadenoma breast hyperplasia, two atypical hyperplasia, three cases of bilateral breast tumor patients, bilateral invasive breast cancer one case, one side of invasive cancer, contralateral ifbroadenomas in two patients, the sensitivity was 99.3%, speciifcity was 100.0%, the negative rate of return of 96.8%, Youden index was 0.97, false negative rate was 0.9%. After puncture site hematoma 2 cases of patients, forty-ifve cases of subcutaneous ecchymosis puncture region appears in the patients, which is no cases of infection.Conclusion In the ultrasound guided core needle biopsy in diagnosis of breast lumps and breast cancer is safe and which is effective clinical method.
