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目的探讨乳腺疾病彩色超声定位下空芯针穿刺活体组织检查(CNB)与手术切除活体组织检查诊断的一致性。方法回顾性分析2012年3月-2015年3月收治的218例乳腺疾病患者乳腺病灶的超声引导下CNB病理学检查结果,并与术后组织病理学诊断结果进行比较,以评估超声引导CNB诊断乳腺病灶的价值。结果 218例乳腺病灶组织中,CNB病理诊断乳腺癌156例,术后病理组织学诊断乳腺癌160例,CNB病理诊断假阴性4例。两种方法具有高度一致性(Kappa=0.958,P<0.001)。CNB病理诊断乳腺癌的灵敏度为97.5%。特异度为100.0%,准确率为98.2%。结论 CNB组织病理诊断乳腺病灶具有较高的准确性,与术后病理组织学诊断结果一致性较高,是一种可靠的乳腺病灶活体组织检查方法。
Objective To investigate the consistency of biopsy needle biopsy (CNB) and surgical biopsy under color ultrasound in breast disease. Methods We retrospectively analyzed the ultrasound-guided pathological findings of breast cancer in 218 patients with breast diseases who were treated from March 2012 to March 2015 and compared them with histopathological diagnosis results to evaluate the diagnosis of CNB by ultrasound The value of breast lesions. Results Among the 218 cases of breast lesions, 156 cases of breast cancer were diagnosed by CNB pathology, 160 cases were pathologically diagnosed as breast cancer and 4 cases were false negative of CNB pathology. The two methods are highly consistent (Kappa = 0.958, P <0.001). The sensitivity of CNB pathological diagnosis of breast cancer was 97.5%. The specificity was 100.0% and the accuracy rate was 98.2%. Conclusion CNB histopathological diagnosis of breast lesions with high accuracy, and histopathological diagnosis of postoperative consistency is high, is a reliable method of biopsy of breast lesions.