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《乳腺微小腫塊患者超聲引導(dǎo)下乳腺穿刺活檢術(shù)診斷與病理診斷研究》由會員上傳分享,免費(fèi)在線閱讀,更多相關(guān)內(nèi)容在工程資料-天天文庫。
1、乳腺微小腫塊患者超聲引導(dǎo)下乳腺穿刺活檢術(shù)診斷與病理診斷研究[摘要]日的探究超聲引導(dǎo)下乳腺穿刺活檢術(shù)對乳腺微小腫塊的臨床診療價(jià)值。方法隨機(jī)選取2009年10月?2013年10月湖南省岳陽市一人民醫(yī)院乳腺微小腫塊患者60例,對其行超聲引導(dǎo)下乳腺穿刺活檢術(shù)。記錄超聲成像和病理診斷結(jié)果。結(jié)果超聲診斷結(jié)果有15例良性和41例惡性,病理診斷結(jié)果有16例良性和43例惡性。二者比較差異無統(tǒng)計(jì)學(xué)意義(P>0.05)o對比觀察結(jié)果可見,乳腺癌患者的病灶形態(tài)不完整,邊緣光滑程度差,回聲多不均勻,后方回聲衰減程度大,病灶鈣化嚴(yán)重,縱橫比明顯偏高,超聲聲像圖病灶形態(tài)特征與乳腺癌微小腫塊
2、比較,血流速度峰值(SPVmax)及阻力指數(shù)(RI)較高,且血流分級以II、III級為主。結(jié)論超聲引導(dǎo)下穿刺活檢技術(shù)可以冇效診斷和治療乳腺微小腫塊。超聲可有效確定病變區(qū)域和性質(zhì)。穿刺活檢術(shù)可有效取樣并利于治療。因此,臨床上可推廣使用此方法治療乳腺腫塊患者。[關(guān)鍵詞]超聲;乳腺穿刺活檢術(shù);乳腺微小腫塊;診療價(jià)值[中圖分類號]R655.8[文獻(xiàn)標(biāo)識碼]A[文章編號]1673-7210(2014)10(b)-0072-05Researchontheclinicaldiagnosisandpathologicaldiagnosisofapplyingbreastbio
3、psyguidedbyultrasounddiagnosinginpatientswithsmallbreastlumpTANQimingYIAijiaoXIAOJunLIBoyongDepartmentofUltrasound,theFirstPeople,sHospitalofYueyangCity,Hu,nanProvince,Yueyang414000,China[Abstract]ObjectiveToresearchtheclinicaldiagnosisvalueofapplyingbreastbiopsyguidedbyultrasounddi
4、agnosinginpatientswithsmallbreastlump.MethodsSixtycasesofpatientswithsmallbreastlumpintheFirstPeople"sHospitalofYueya.ngCityfromOctober2009toOctober2013woreselectedrandomly.Theywerediagnosedbybreastbiopsyguidedbyultrasound.Theresultsofultrasonicimageandpathologicaldiagnosiswererecor
5、ded.ResultsTherewere15casesofbenignand41casesofmalignantaccordingtotheultrasonicimage.Therewere16casesofbenignand43casesofmalignantaccordingtotheresultofpathologicaldiagnosis.Therewasnoobviousdifferencebetweenthetwogroups(P>0.05)?Theultrasoundmorphologicalcharacteristicsofpatientswi
6、thbreastcancerweresignificantlydifferentfromthepatientswithproliferationofmdmmarygland,thevaluesofSPVmaxandRIwerehigher,andtherewasapredominanceofIIandIIIgradespatientsingradeofbloodflow.ConclusionBreastbiopsyguidedbyultrasoundiswe11indiagnosingpatientswithsmallbreastlump.Ultrasound
7、candeterminetheexactpositionandcharacteroflesionarea.Breastbiopsycansamplingeffectivelyandisbeneficialtotreating.Therefore,thismethodcanbepopularizinginclinictotreatbreastlumppatients.[Keywords]Ultrasound;Breastbiopsy;Smallbreastlump;Diagnosisvalue乳房腫塊已成為全世界范圍內(nèi)女性首發(fā)的疾病類型。現(xiàn)已位居我國城市女性疾病
8、的首位,嚴(yán)重威脅女性身心健康。腫塊產(chǎn)生