乳腺微小肿块患者超声引导下乳腺穿刺活检术诊断与病理诊断研究

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1、乳腺微小肿块患者超声引导下乳腺穿刺活检术诊断与病理诊断研究［摘要］日的探究超声引导下乳腺穿刺活检术对乳腺微小肿块的临床诊疗价值。方法随机选取2009年10月〜2013年10月湖南省岳阳市一人民医院乳腺微小肿块患者60例，对其行超声引导下乳腺穿刺活检术。记录超声成像和病理诊断结果。结果超声诊断结果有15例良性和41例恶性，病理诊断结果有16例良性和43例恶性。二者比较差异无统计学意义(P>0.05)o对比观察结果可见，乳腺癌患者的病灶形态不完整，边缘光滑程度差，回声多不均匀，后方回声衰减程度大，病灶钙化严重，纵横比明显偏高，超声声像图病灶形态特征与乳腺癌微小肿块

2、比较，血流速度峰值(SPVmax)及阻力指数(RI)较高，且血流分级以II、III级为主。结论超声引导下穿刺活检技术可以冇效诊断和治疗乳腺微小肿块。超声可有效确定病变区域和性质。穿刺活检术可有效取样并利于治疗。因此，临床上可推广使用此方法治疗乳腺肿块患者。［关键词］超声；乳腺穿刺活检术；乳腺微小肿块；诊疗价值［中图分类号］R655.8［文献标识码］A［文章编号］1673-7210(2014)10(b)-0072-05Researchontheclinicaldiagnosisandpathologicaldiagnosisofapplyingbreastbio

3、psyguidedbyultrasounddiagnosinginpatientswithsmallbreastlumpTANQimingYIAijiaoXIAOJunLIBoyongDepartmentofUltrasound,theFirstPeople，sHospitalofYueyangCity,Hu，nanProvince,Yueyang414000,China[Abstract]ObjectiveToresearchtheclinicaldiagnosisvalueofapplyingbreastbiopsyguidedbyultrasounddi

4、agnosinginpatientswithsmallbreastlump.MethodsSixtycasesofpatientswithsmallbreastlumpintheFirstPeople"sHospitalofYueya.ngCityfromOctober2009toOctober2013woreselectedrandomly.Theywerediagnosedbybreastbiopsyguidedbyultrasound.Theresultsofultrasonicimageandpathologicaldiagnosiswererecor

5、ded.ResultsTherewere15casesofbenignand41casesofmalignantaccordingtotheultrasonicimage.Therewere16casesofbenignand43casesofmalignantaccordingtotheresultofpathologicaldiagnosis.Therewasnoobviousdifferencebetweenthetwogroups(P>0.05)・Theultrasoundmorphologicalcharacteristicsofpatientswi

6、thbreastcancerweresignificantlydifferentfromthepatientswithproliferationofmdmmarygland,thevaluesofSPVmaxandRIwerehigher,andtherewasapredominanceofIIandIIIgradespatientsingradeofbloodflow.ConclusionBreastbiopsyguidedbyultrasoundiswe11indiagnosingpatientswithsmallbreastlump.Ultrasound

7、candeterminetheexactpositionandcharacteroflesionarea.Breastbiopsycansamplingeffectivelyandisbeneficialtotreating.Therefore,thismethodcanbepopularizinginclinictotreatbreastlumppatients.[Keywords]Ultrasound；Breastbiopsy；Smallbreastlump；Diagnosisvalue乳房肿块已成为全世界范围内女性首发的疾病类型。现已位居我国城市女性疾病

8、的首位，严重威胁女性身心健康。肿块产生