| 罗顺平 李晶 彭继兰 方帆 李志燕 曾亮.B 超引导下乳腺肿块粗针穿刺诊断的分析(附120 例报道）[J].,2014,14(4):712-715 |
| B 超引导下乳腺肿块粗针穿刺诊断的分析(附120 例报道） |
| Analysis of 120 Cases Ultrasonic Guidance Core NeedleAspiration Biopsy Diagnosis to Breast Masses |
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| DOI： |
| 中文关键词: 超声诊断 乳腺肿块 粗针穿刺 |
| 英文关键词: Ultrasonic diagnosis Breast mass Core needle aspiration |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨B 超引导下粗针穿刺在乳腺肿块诊断中的应用意义。方法：使用B 超引导下粗针吸取穿刺对120 例乳腺肿块进
行穿刺活检，然后进行固定，脱水，染色，镜检，结合临床作出病理学诊断。结果：粗针穿刺诊断包括良性病变48 例，非典型性导管
上皮增生（ADH)32 例，导管内癌12 例，浸润性癌28 例。与后续手术标本病理诊断比较得出确诊率，其中良性病变的诊断率为
95.83%（46/48），ADH 的确诊率为75%（24/32），导管内癌的确诊率为58.33%（7/12），浸润性癌诊断率为92.86%（26/28），其中导管
内癌与浸润性导管癌和乳腺良性病变的确诊率有显著性差异，而ADH 与浸润性导管癌和乳腺良性病变间的确诊率有差异，但本
组数据没有统计学意义。结论：超声引导下粗针穿刺对乳腺浸润性癌和良性病变的诊断率较高，但对ADH和原位癌的确诊率较
低，有待进一步改进。 |
| 英文摘要: |
| Objective:The purpose of this study was to evaluate significance of ultrasonic guided core needle biopsy application
into breast masses .Methods:We retrospectively reviewed the pathologic results of ultrasonic guided core needle biopsy of solid breast
masses. A total of 120 breast masses diagnosed with this procedure and surgically excised were included in the study, then they were
taken fixation, dehydration, staining, microscopic observation, ultimately pathological diagnosis.Results:Compared to the results of
surgical excision of 120 breast masses , the diagnosis rates by ultrasonic guided core needle biopsy were 95.83%（46/48）for benign
lesions, 75%（24/32）for atypical ductal hyperplasia (ADH), 58.33%（7/12）for Intraductal carcinoma，92.86%（26/28）for infiltrating
cancer, and statistically significant differences were found between Intraductal carcinoma and infiltrating cancer or benign lesions;
differences were found between ADH and infiltrating cancer or benign lesions, but no statistically significant.Conclusion:Higher
diagnostic rate by ultrasonic guided core needle biopsy was for infiltrating cancer and benign lesion than for Intraductal carcinoma and
ADH, so it is necessary to improve it. |
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