细针穿刺与麦默通在 T1期乳腺癌术前诊断中应用比较 |
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引用本文: | 张苗,童艳兰,李扬,李子国,刘增亮. 细针穿刺与麦默通在 T1期乳腺癌术前诊断中应用比较[J]. 湖南师范大学学报(医学版), 2016, 0(1) |
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作者姓名: | 张苗 童艳兰 李扬 李子国 刘增亮 |
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作者单位: | 河北省涿州市医院,涿州,072750 |
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摘 要: | 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。
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关 键 词: | 乳腺癌 细针穿刺 麦默通 术前诊断 |
Fine-needle aspiration and Mammotome Comparison before T1 operative diagnosis of breast cancer |
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Abstract: | Objective To investigate the effect of fine needle aspiration with the Mammotome breast cancer surgery in T1 before diagnosis, provide the basis for the diagnosis of breast cancer. Methods A hospital in April 2012~April 2015 admitted to surgical indications and T1 diagnosed 130 cases of breast cancer patients were analyzed, all patients underwent preopera-tive fine needle aspiration with the Mammotome minimally invasive biopsy system inspection, inspection method to observe two disadvantages. Results In the real-time performance and accuracy of diagnosis of breast cancer T1, Mammotome significantly better than fine-needle aspiration biopsy examination, the difference was significant; and Mammotome biopsy success rate and positive were significantly higher than fine-needle aspiration, the difference was significant; but Mammotome biopsy hematoma and subcutaneous congestion were significantly higher than fine-needle aspiration, the difference was significant. Conclusion Fine needle aspiration method is simple, safe, minimally invasive, the disadvantage of low positive rate, high rate of misdiag-nosis; and Mammotome biopsy method has high sensitivity, high specificity, the advantages of minimally invasive breast mass. Mammotome minimally invasive biopsy system is a safe breast lumps qualitative difficulties (including fine-needle aspiration were negative) when effective diagnostic method. |
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Keywords: | Breast cancer fine needle aspiration Mammotome preoperative diagnosis |
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