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目的:评价彩超引导下空芯针穿刺活检(US-CNB)在乳腺肿块诊断中的临床意义。方法:回顾性分析宿州市立医院肿瘤外科2011年1月至2014年6月行空芯针穿刺活检病人120例,对空芯针穿刺活检和切除活检标本的病理组织学诊断进行比较和分析。结果:120例乳腺疾病病人经空芯针穿刺活检组织学诊断乳腺癌为90例,7例假阴性,假阴性率为5.8%。US-CNB与切除活检的病理诊断符合率为94.2%,无显著性差异(P>0.05),空芯针穿刺结果与肿瘤性质、部位、患者年龄、钙化等因素,无显著性差异(P>0.05),与肿瘤大小有显著性差异(P<0.05)。结论:彩超引导下空芯针穿刺活检是一种敏感性高、特异性强、安全性较高的乳腺病变诊断方法。
Objective: To evaluate the clinical significance of color-guided hollow core needle biopsy (US-CNB) in the diagnosis of breast masses. Methods: A retrospective analysis of 120 cases of hollow core needle biopsy performed by Department of Oncology, Suzhou Municipal Hospital from January 2011 to June 2014 was performed to compare and analyze the histopathological diagnosis of hollow core needle biopsy and excisional biopsy. Results: Totally 90 cases of breast cancer were diagnosed by air-core needle biopsy in 120 cases of breast disease. The false negative rate was 7 cases and the false-negative rate was 5.8%. The coincidence rate of US-CNB and biopsy was 94.2%, there was no significant difference (P> 0.05). There was no significant difference between the results of core needle puncture and tumor characteristics, location, patient’s age and calcification (P> 0.05), and the tumor size was significantly different (P <0.05). Conclusion: Color-guided ultrasonography guided needle biopsy is a sensitive, specific and safe method for the diagnosis of breast lesions.