乳腺肿块核芯针穿刺活检的临床应用

目的：探讨经皮核芯针穿刺活检乳腺肿块的临床应用价值。方法：对138例乳腺肿块患者术前行经皮核芯针穿刺，取得病理学诊断后再与手术病检结果进行对比，分析其诊断价值。结果：138例中穿刺成功137例，1例穿刺失误（所取为脂肪组织），穿刺成功率为99.28％。术前穿刺活检诊断乳腺癌87例，良性病变47例，乳腺组织3例，脂肪组织伴出血1例。135例患者施行了手术，经手术病检证实其诊断符合率达92.75％，假阴性率占7.2％，无假阳性，阳性预测值100％。结论：经皮核芯针穿刺活检创伤小、操作简单安全、诊断准确率较高，是乳房肿块定性诊断的首选方法。

Clinical application of core needle puncture on breast lump Biopsy

Objective:To study the clinical application value of transdermic core needle puncture on breast lump biopsy.Methods:The results of transdermic core needle puncture pathology and postoperative pathology in 138 cases of breast lump were compared to analyze the diagnostic value of core needle puncture.Results:Of 138 cases with core needle puncture,137 cases were successful(with successful rate of 99.28%) and 1 case was failed with puncture of fatty tissue.According to preoperative core needle puncture biopsy,87 cases were diagnosed as breast cuncer,47 cases were diagnosed as benign lesions 3 cases were breast tissues and 1 case was fatty tissue with bleeding.135 cases underwent operation treatment.It was certified by Postsperative pathology that its diagnostic accordance rate was 92.75%,the false negative rate was 7.2% and no false postive.Conclusion:Transdermic core needle biopsy is the first choice of breast lump diagnosis for its high diagnostic rate and little trauma,safety and simple manipulation.