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目的探讨超声引导下粗针穿刺活检(CNB)在乳腺癌诊断和治疗中的应用价值。方法 153例乳腺癌普查中可疑乳腺肿块患者,均给予CNB,并进行组织病理学检查,观察CNB检查的准确性。结果 153例患者经CNB诊断正确148例,确诊率为96.73%,未出现假阳性结果。经组织病理学确诊后,乳腺癌患者均采用手术治疗,有16例患者实施保留乳腺手术,其中3例患者最初肿瘤直径>40 mm不可使用保乳手术治疗,实施相应新辅助化疗后完成降期后采用保乳治疗。患者治疗后均未发生出血、感染等并发症。结论 CNB应用于乳腺可疑肿块检查具有较高的准确性、安全性,对于乳腺癌的诊断治疗具有较高应用价值。
Objective To investigate the value of ultrasound guided needle biopsy (CNB) in the diagnosis and treatment of breast cancer. Methods 153 cases of breast cancer census suspicious breast mass patients were given CNB, and histopathological examination to observe the accuracy of CNB examination. Results 153 patients were diagnosed correctly by CNB in 148 cases, the diagnosis rate was 96.73%, no false positive results. After histopathological diagnosis, breast cancer patients were treated with surgery, 16 patients underwent breast conserving surgery, of which 3 patients initially tumor diameter> 40 mm can not be treated with breast-conserving surgery, the implementation of the corresponding neoadjuvant chemotherapy after the completion of the decline After using breast-conserving treatment. No bleeding, infection and other complications occurred after treatment. Conclusion The application of CNB in the detection of suspicious lumps of breast has high accuracy and safety and has high value for the diagnosis and treatment of breast cancer.