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目的 :探讨细针穿刺与麦默通在T1期乳腺癌术前诊断中的效果,为乳腺癌的诊断提供依据。方法 :选择本院2012年4月-2015年4月收治的有手术指征并确诊的T1期乳腺癌患者130例进行分析,所有患者术前均进行细针穿刺与麦默通微创活检系统进行检查,观察两组检查方法的优缺点。结果 :在一次性确诊T1期乳腺癌的实际效果和准确性上,麦默通活检显著优于细针穿刺检查,差异具有统计学意义;且麦默通穿刺成功率及穿刺阳性率均显著高于细针穿刺,差异有统计学意义;但麦默通穿刺后皮下血肿及皮下淤血发生率显著高于细针穿刺,差异有统计学意义。结论 :细针穿刺法简便、安全、创伤小,缺点为阳性率较低、漏诊率较高;而麦默通穿刺法具有高敏感、高特异性、微创的优点,故麦默通微创活检系统是乳腺肿块定性困难(包括细针穿刺检查阴性)时的一个安全、有效的诊断方法。
Objective: To investigate the effect of fine needle aspiration and mesomone on the preoperative diagnosis of T1 breast cancer, and to provide evidence for the diagnosis of breast cancer. Methods: A total of 130 patients with T1-stage breast cancer who underwent surgical indications and were diagnosed in our hospital from April 2012 to April 2015 were selected for analysis. All patients underwent fine needle aspiration and Metamaterial Minimally Invasive Biopsy System Check, observe the advantages and disadvantages of the two inspection methods. Results: The biopsy of Mercktong was significantly better than that of fine needle aspiration in the one-time diagnosis of T1 breast cancer, the difference was statistically significant; and the success rate and the positive rate of puncture of Merck were significantly higher In the fine needle aspiration, the difference was statistically significant; however, the incidence of subcutaneous hematoma and subcutaneous congestion was significantly higher than that of the fine needle aspiration after the Mailimong puncture, the difference was statistically significant. Conclusion: The fine needle aspiration method is simple, safe and less invasive, the disadvantage is the lower positive rate, the higher the rate of misdiagnosis, while the metonoma puncture method has the advantages of high sensitivity, high specificity and minimally invasive Biopsy system is a safe and effective diagnostic method for qualitative diagnosis of breast lumps (including negative fine needle aspiration).