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目的评价基层医院粗针穿刺活检在早期乳腺癌诊断中的应用价值。方法回顾分析已手术病理确诊为ⅡA期以下乳腺癌经超声联合钼靶(US+MG)与粗针穿刺活检(NCB)进行对比,对结果 进行对比分析。结果 US+MG准确率90.15%,NCB诊断早期乳腺癌诊断准确率100%,χ2=8.7,P<0.05差异有统计学意义;BUS+MG和NCB诊断早期乳腺癌假阳性率分别为9.85%和1.19%,假阴性率分别为6.38%和1.19%。结论 NCB不仅在明确诊断方面可以提供的良好的帮助,在诊断准确率上有了明显的提高。NCB可以进一步提高基层医院早期乳腺癌的确诊率并减少漏诊及误诊率。
Objective To evaluate the application value of primary needle biopsy in the diagnosis of early stage breast cancer. Methods Retrospective analysis of the surgical diagnosis of breast cancer ⅡA below by ultrasound combined with molybdenum target (US + MG) and the needle biopsy (NCB) were compared and the results were compared. Results The accuracy rate of US + MG was 90.15%. The diagnostic accuracy rate of NCB in early stage of breast cancer was 100% (χ2 = 8.7, P <0.05). The false positive rates of BUS + MG and NCB in diagnosing early stage breast cancer were 9.85% 1.19%, false negative rates were 6.38% and 1.19% respectively. Conclusion NCB can not only provide good help in the diagnosis but also improve the accuracy of diagnosis. NCB can further improve the diagnosis rate of primary breast cancer in primary hospitals and reduce the missed diagnosis and misdiagnosis rate.