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目的比较二维超声技术与超声引导下穿刺活检对乳腺良恶性肿瘤的诊断价值。方法回顾性分析经手术病理证实的60例乳腺良恶性肿瘤患者,分别对其进行二维超声及超声引导下乳腺穿刺活检,并与手术病理结果对比。结果根据二维超声诊断指标即乳腺肿瘤的大小、边界、形态、纵横比、内部回声、钙化类型、周边声晕、有无后方衰减等将可疑恶性病灶归入恶性组内,与病理符合率70.8%;根据穿刺活检结果,将倾向恶性病灶归入恶性组内,与病理符合率93.7%,二者比较差异有统计学意义(P<0.05)。结论超声引导下乳腺穿刺活检技术对乳腺良恶性肿瘤诊断价值较高。
Objective To compare the diagnostic value of two-dimensional ultrasound and ultrasound-guided needle biopsy in benign and malignant breast tumors. Methods Sixty patients with benign and malignant breast tumors confirmed by surgery and pathology were retrospectively analyzed. The patients underwent two-dimensional ultrasound and ultrasound-guided breast biopsy, respectively, and were compared with the surgical pathology results. Results The suspicious malignant lesions were classified into malignant group according to the two-dimensional ultrasonic diagnostic indexes, ie, the size, boundary, morphology, aspect ratio, internal echo, calcification type, peripheral sound halo, and posterior attenuation. %; According to biopsy results, the malignant lesions were classified as malignant group, and the coincidence rate of pathology was 93.7%, the difference was statistically significant (P <0.05). Conclusion Ultrasound-guided breast biopsy has high diagnostic value for benign and malignant breast tumors.