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目的:探讨使用超声引导下穿刺活检术诊断乳腺疾病的准确率。方法:对2013年4月~2014年5月期间我院收治的63例乳腺疾病患者(共66个乳腺病灶)的临床资料进行回顾性研究。我院对这些患者均使用超声引导下穿刺活检术进行诊断,并以其进行病理诊断的结果作为最终的诊断标准。观察使用超声引导下穿刺活检术诊断乳腺疾病的准确率、敏感度、特异度、假阴性率和假阳性率。结果:在本组66个乳腺病灶中,有34个病灶经穿刺活检术诊断为恶性病变,与术后病理诊断的结果一致。有32个病灶经穿刺活检术诊断为高危或良性病变,其中有3个病灶经术后病理诊断的结果为恶性病变,其余29个病灶与术后病理诊断的结果一致。使用超声引导下穿刺活检术诊断乳腺疾病的准确率为95.5%、敏感度为91.9%、特异度为100%、假阴性率为8.1%、假阳性率为0.0%。结论:使用超声引导下穿刺活检术诊断乳腺疾病的准确率较高。此检验方法值得在临床上推广应用。
Objective: To investigate the diagnostic accuracy of ultrasound-guided biopsy of breast disease. Methods: The clinical data of 63 patients with breast diseases (66 breast lesions) admitted to our hospital from April 2013 to May 2014 were retrospectively studied. Our hospital for these patients are under ultrasound guided biopsy diagnosis, and its pathological diagnosis as the final diagnostic criteria. To observe the diagnostic accuracy, sensitivity, specificity, false negative rate and false positive rate of breast diseases using ultrasound-guided biopsy. Results: Of the 66 breast lesions in this group, 34 lesions were diagnosed as malignant lesions by biopsy, consistent with the postoperative pathological diagnosis. 32 lesions were diagnosed as high-risk or benign lesions by biopsy, of which 3 lesions were pathologically diagnosed as malignant lesions, and the remaining 29 lesions were consistent with postoperative pathological diagnosis. The diagnostic accuracy of ultrasound-guided biopsy for breast disease was 95.5%, with a sensitivity of 91.9%, a specificity of 100%, a false negative rate of 8.1% and a false positive rate of 0.0%. CONCLUSIONS: The accuracy of using ultrasound-guided biopsy to diagnose breast disease is high. This test is worth promoting in clinical application.