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目的:探讨针吸细胞块活检确诊乳腺肿块的诊断价值。方法:对118例乳腺肿块患者经针吸细胞涂片检查、针吸细胞块活检与术后组织学病理诊断对比分析。结果:针吸细胞块活检与针吸细胞学涂片的的诊断结果比较,前者的敏感性、特异性、总体诊断符合率、阴性准确率、阳性准确率均要高出后者,假阳性率及假阴性率亦低于后者。尤其阴性准确率,针吸细胞块活检为77.27%(17/22),针吸细胞学涂片为65.38%(17/26),高出近12%。结论:细胞块活检对乳腺癌肿块诊断有独特价值,该方法不仅快速、简便,较为准确,而且综合之相关诊断指标优于细胞涂片的结果,并能弥补细胞涂片对确定肿瘤来源及进一步分型的缺陷,为临床医生提供准确的诊疗方案,值得推广应用。
Objective: To investigate the value of needle aspiration biopsy in the diagnosis of breast masses. Methods: 118 cases of breast lumps were examined by needle aspiration cytology, needle aspiration biopsy and histopathological diagnosis. Results: Compared with the diagnostic results of needle aspiration cytology, the sensitivity, specificity, overall diagnostic coincidence rate, negative accuracy rate and positive accuracy rate of the needle aspiration cell mass biopsy were higher than those of the latter. The false positive rate And the false negative rate is also lower than the latter. In particular, the negative accuracy rate of needle aspirate cell mass biopsy was 77.27% (17/22), aspiration cytology smear was 65.38% (17/26), nearly 12% higher. Conclusions: Cell block biopsy has unique value in the diagnosis of breast cancer. The method is not only fast, simple and accurate, but also has better diagnostic results than cytological smears. It can make up for cell smear to determine the source of tumor and further Type defects, provide clinicians with accurate diagnosis and treatment programs, it is worth to promote the application.