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麦默通微创活检系统对乳腺肿块诊断的应用价值
引用本文:顾军,于泽平,王少华,张晓薇,赵善鹏,季洪爱.麦默通微创活检系统对乳腺肿块诊断的应用价值[J].医学研究生学报,2010,23(3):279-281.
作者姓名:顾军  于泽平  王少华  张晓薇  赵善鹏  季洪爱
作者单位:1. 南京军区南京总医院普通外科,南京,210002
2. 南京军区南京总医院病理科,南京,210002
基金项目:南京军区南京总医院科研基金(2005045)
摘    要:目的麦默通微创活检系统(mammotone biopsy system,MBS)为一种真空辅助粗针活检系统,比细针穿刺取材所获样本量更大。在乳腺疾病的诊断中应用日益广泛。文中评估MBS微创活检在乳腺肿块诊断中的应用价值。方法67例乳腺肿块患者(62例乳腺癌、5例乳腺炎症疾病)术前行超声引导下MBS穿刺。1 207例乳腺癌患者术前行细针穿刺检查,对两种方法的诊断价值进行评价。结果67例患者MBS穿刺成功率为100%。乳腺癌患者MBS穿刺的阳性率为98.4%,细针穿刺的阳性率为88.4%(P<0.05),两种方法的假阳性率均为0。MBS穿刺皮下血肿的发生率为7.4%(5/67),皮下瘀斑发生率为25.4%(17/67)。细针穿刺的患者无发生皮下血肿和皮下瘀斑者。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。麦默通穿刺法具有高敏感、高特异性、微创的优点,可作为乳腺肿块定性的首选方法。

关 键 词:麦默通  活检  乳腺癌  细针穿刺  超声引导  

Mammotome vacuum-assisted breast biopsy: Its application value in the diagnosis of breast diseases
GU Jun,YU Ze-ping,WANG Shao-hua,ZHANG Xiao-wei,ZHAO Shan-peng,JI Hong-ai.Mammotome vacuum-assisted breast biopsy: Its application value in the diagnosis of breast diseases[J].Bulletin of Medical Postgraduate,2010,23(3):279-281.
Authors:GU Jun  YU Ze-ping  WANG Shao-hua  ZHANG Xiao-wei  ZHAO Shan-peng  JI Hong-ai
Institution:1.Department of General Surgery;2.Department of Pathology;Nanjing General Hospital of Nanjing Military Command;PLA;Nanjing 210002;Jiangsu;China
Abstract:Objective Mammotome is a vacuum-assisted core needle biopsy system,which can get larger volume of tissue than fine needle biopsy,and is obtaining a wider application in the diagnosis and treatment of breast diseases.This study aimed to explore the clinical value of mammotome vacuum-assisted breast biopsy in the diagnosis of breast diseases.Methods Sixty-seven patients with breast diseases,including 62 cases of breast cancer and 5 cases of inflammatory breast disease,underwent ultrasound guided mammotome vac...
Keywords:Mammotome  Biopsy  Breast cancer  Fine needle aspiration  Ultrasound-guided  
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