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目的探讨基层医院开展超声引导下乳腺肿块粗针穿刺活检的应用价值。方法对106例乳腺实性肿块患者行超声引导下乳腺肿块粗针穿刺活检检查,并与术后病理检查进行对比。结果 106例穿刺病理活检均成功,其中乳腺恶性肿瘤79例(包括浸润性导管癌68例,髓样癌10例,乳腺肉瘤1例),良性肿瘤27例(包括纤维腺瘤21例,乳腺腺病3例,不典型增生2例,脂肪瘤1例),与术后病理比较,诊断符合率为98.1%。结论超声引导下乳腺肿块粗针穿刺活检准确率高,简便易行且经济安全同时并发症少,值得在基层医院开展应用。
Objective To investigate the value of ultrasound-guided gross needle biopsy in primary hospital. Methods 106 cases of solid breast masses underwent ultrasonic guided needle biopsy of the breast masses and compared with postoperative pathological examination. Results All the 106 cases were successfully performed biopsy, including 79 cases of breast cancer (including 68 cases of invasive ductal carcinoma, 10 cases of medullary carcinoma and 1 case of breast sarcoma), and 27 cases of benign tumors (including 21 cases of fibroadenoma, 3 cases of disease, 2 cases of atypical hyperplasia and 1 case of lipoma). The coincidence rate was 98.1% when compared with postoperative pathology. Conclusion Ultrasound-guided rough needle biopsy of breast mass with high accuracy, easy and economical and safe with fewer complications, it is worth carrying out applications in primary hospitals.