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目的探讨细针穿刺细胞学检查在乳腺良恶性肿瘤诊断中的准确率及误诊情况。方法收集本院2008年1月~2013年1月以来所做乳腺细针穿刺细胞学检查的患者1108例,进行穿刺细胞学和组织病理学结果对比分析。结果对比组织病理学检查,细针穿刺细胞学检查诊断乳腺恶性肿瘤的准确率达99.49%,假阴性率1.17%,假阳性率0.51%。结论细针穿刺细胞学检查诊断乳腺肿瘤准确率高、创伤小,具有其他检查方法不可替代的优势,但也有一定的误诊率,在实际工作要结合冰冻快速来进一步明确诊断,确保医疗安全。
Objective To investigate the accuracy and misdiagnosis of fine needle aspiration biopsy in the diagnosis of benign and malignant breast tumors. Methods A total of 1108 cases of fine needle aspiration cytology performed in our hospital from January 2008 to January 2013 were collected and compared by puncture cytology and histopathology. Results Compared with histopathological examination and fine needle aspiration cytology, the diagnostic accuracy of breast cancer was 99.49%, false negative rate was 1.17% and false positive rate was 0.51%. Conclusions Fine needle aspiration cytology can be used to diagnose breast tumor with high accuracy and small trauma. It has the advantages of other methods. However, there is a certain misdiagnosis rate. In practice, the diagnosis should be further combined with rapid freezing to ensure medical safety.