“三联检查”是指包括体检、钼靶摄片和细针抽吸活检三项检查.最早研究三联检查的准确性是在1970年间.后来丹麦人报告一大宗病例研究,对三种检查作了对照,提出三联试验有较高的诊断准确性.作者的研究确定下列要求:(1)用需要手术切除活检的病人对照三联试验的诊断准确性;(2)三联试验结果不一致时的应用价值;(3)研究避免手术活检能对费用节约情况.在1991年10月至1994年4月,共有43例、46个部位可触及到乳腺肿块.年龄21～87岁,平均52.2岁.手术活检前依次行体检、钼靶摄片和细针抽吸活检三项检查.体检由两名经过训练的乳腺外科医生执行,摄钼靶片后由两名有经验的放射科医生诊断,细针穿刺由经过训练的乳腺科医生操作.全部细胞病理片,由同一名病理家诊断,并由原病理家和另一名病理家再复习诊断.如果三联检查结果完全相同称一致性,如果三联检查结果不相同称不一致性.本研究不包括行B超检查的病人.三联检查对21个病变是一致性,其中12个病变部位诊断为良性肿块,并且被手术活检证实诊断正确;9个病变诊断为恶性病变,也被手术活检证实诊断正确.在不一致方面,如果两项检查一致,则诊断准确性较高.三联检查中针吸活检诊断准确性最高,钼靶摄片次之,体检的诊断正确性最低.经济节约分析是避免确诊性手术,三联检查不需住 The “triple examination” refers to three tests including physical examination, mammography, and fine-needle aspiration biopsy. The earliest studies of triple-checks were accurate during the 1970s. Later Danes reported a large case study and made three examinations. Controls, proposed triple test has higher diagnostic accuracy. The author’s study identified the following requirements: (1) the diagnostic accuracy of the triple test with patients requiring surgical removal of the biopsy; (2) the application value when the triple test results are inconsistent; (3) Study to avoid surgical biopsy can save the cost. From October 1991 to April 1994, a total of 43 cases, 46 sites can touch the breast mass. Age 21 to 87 years, mean 52.2 years old. Before the surgical biopsy Followed by physical examination, mammography, and fine-needle aspiration biopsy. The physical examination was performed by two trained breast surgeons. After the molybdenum target was taken, they were diagnosed by two experienced radiologists. Fine needle puncture was performed by The trained mammologist operates on the whole cytopathological section, diagnosed by the same pathologist, and reviewed by the original pathologist and another pathologist. If the triple examination results are identical, the consistency is said, if the triple examination results The same is called inconsistency. This study does not include patients who underwent B-ultrasound. Triple examination was consistent with 21 lesions, of which 12 lesions were diagnosed as benign masses and confirmed by surgical biopsy; 9 lesions were diagnosed as malignant. The lesions were also diagnosed correctly by surgical biopsy. In terms of inconsistency, the diagnostic accuracy was higher if the two examinations were consistent. The accuracy of needle biopsy diagnosis was the highest in the triple examination, followed by the molybdenum target, and the diagnostic accuracy of the physical examination. Lowest economic analysis is to avoid definitive surgery, triple check does not need to live