| 摘要: |
| 目的:探讨乳腺占位性病变诊断中超声引导经皮穿刺活检的可行性及有效性。方法:选取 2017年 1月—2018年 11月我院收治的 102例乳腺占位性病变患者，对患者进行超声引导经皮穿刺活检和超声活检诊断，并以病理诊断为参考依据。分析乳腺占位病变超声诊断价值和乳腺占位性病变超声经皮穿刺活检的诊断价值，比较超声活检诊断和乳腺占位性病变超声引导诊断价值。结果:超声诊断与病理诊断结果无明显差异( P＞ 0.05)，超声引导活检诊断与病理诊断结果无明显差异(P＞ 0.05)，超声活检诊断和乳腺占位性病变超声引导诊断在灵敏度、特异度、符合率、漏诊率和误诊率方面存在显著差别(P＜ 0.05)，超声引导经皮穿刺活检的诊断效能优于超声诊断。结论:对乳腺癌患者进行超声引导经皮穿刺活检，不仅诊断效果理想，而且大大降低了患者诊断过程的漏诊率和误诊率，提高了诊断准确度，降低了并发症的发生。 |
| 关键词: 乳腺占位性病变 超声引导 皮穿刺活检 可行性 有效性 |
| DOI：10.3969/j.issn.1007-6948.2020.02.020 |
| 投稿时间：2019-01-30 |
| 基金项目: |
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| Feasibility and Effectiveness of Ultrasound-guided Percutaneous Biopsy in Diagnosis of Breast Space-occupying Lesions |
| XING Jing,WANG Yi-qing,SHEN Jia-jun |
| Department of Ultrasonography, Zhejiang Xin' an International Hospital, Jiaxing, Zhejiang, (314000), China |
| Abstract: |
| Objective To investigate the feasibility and effectiveness of ultrasound-guided percutaneous biopsy in the diagnosis of breast occupying lesions. Methods A total of 102 patients with breast lesions admitted to our hospital from January 2017 to November 2018 were enrolled. Ultrasound-guided percutaneous biopsy and ultrasound biopsy were performed. The pathological diagnosis was used as a reference. To analyze the diagnostic value of ultrasound diagnosis of breast lesions and ultrasound percutaneous biopsy of breast lesions, and to compare the value of ultrasound biopsy diagnosis and ultrasound guidance diagnosis of breast occupying lesions. Results There was no signi?cant difference between ultrasound diagnosis and pathological diagnosis (P>0.05). There was no significant difference between ultrasound-guided biopsy diagnosis and pathological diagnosis (P>0.05). There were signi?cant differences in sensitivity, speci?city, compliance rate, missed diagnosis rate and misdiagnosis rate (P<0.05) in ultrasound biopsy diagnosis and breast-based lesions guided by ultrasound. The diagnostic ef?cacy of ultrasound-guided percutaneous biopsy is better than ultrasound.Conclusion Ultrasound-guided percutaneous biopsy for breast cancer patients not only has a good diagnostic |
| Key words: Breast space-occupying lesions ultrasound-guided skin biopsy feasibility effectiveness |
