1 731例乳腺肿块细针穿刺诊断临床应用分析.docVIP

1 731例乳腺肿块细针穿刺诊断临床应用分析 　　[摘要] 目的：探讨乳腺肿块细针穿刺细胞学检查（FNAC）的临床应用价值。方法：对2006~2010年的1 731例乳腺肿块细针穿刺细胞学检查结果进行对比分析。结果：1 731例乳腺细针穿刺病例，2009~2010年的病例及阳性病例明显高于2006~2008年，其中924例做了活检对照，恶性肿瘤敏感性为96.68%（233/241），假阴性率为3.32%（8/241），无假阳性。FNAC诊断的总准确率为 97.29%（899/924）。结论：乳腺肿块细针穿刺诊断技术，操作简易、快速、安全、可靠、价格低廉，可在基层医院及乳腺癌筛查中大力推广。 　　[关键词] 细针穿刺细胞学；活体组织检查；乳腺肿块；乳腺癌筛查 　　[中图分类号] R446.8[文献标识码]B [文章编号]1673-7210（2011）07（c）-097-02 　　 　　Clinical value on fine needle aspiration cytology in the diagnosis of 1 731 patients with breast lumps 　　WANG Xiaojie 　　Department of Pathology, the First Hospital of Fangshan District, Beijing 102400, China 　　[Abstract] Objective: To explore the clinical value of fine needle aspiration cytology (FNAC) in the diagnosis of breast lumps. Methods: A total of 1 731 patients with breast lumps from 2006 to 2010 were diagnosed by fine needle aspiration cytology. The results were compared and analyzed. Results: 1 731 cases were given fine needle aspiration cytology, the number of cases and positive cases from 2009 to 2010 were obviously higher than that from 2006 to 2008. 924 patients were diagnosed with biopsy. The results showed that the diagnostic sensitivity of m alignant tumor was 96.68% (233/241), the false negative rate was 3.32% (8/241), and the false positive cases were of not existing. The accurate rate of FNAC diagnostic technology was 97.29% (899/924). Conclusion: The fine needle aspiration cytology (FNAC) in diagnosing breast lumps, which is simple, fast, secure and reliable, could be largely promoted in the primary hospitals and the screening of breast cancer. 　　[Key words] Fine needle aspiration cytology; Biopsy; Breast lumps; Screening of breast cancer 　　 　　乳腺疾病为女性常见病，乳腺肿块多见且易被触及，肿块针吸细胞学检查是一种快速、安全、简便、准确、可重复进行的诊断技术[1]，尤其对乳腺癌的早期诊断具有较高的实用价值[2]。本文收集了我院2006~2010年1 731例乳腺肿块细针穿刺病例，对其中924例做了病理组织学进行对照分析，现报道如下： 　　 　　1 资料与方法 　　1.1 一般资料 　　收集2006年1月~ 2010年12月我院门诊或住院进行乳腺细针穿刺细胞学检查的标本共1 731例，年龄18~78岁，平均44.7岁；肿瘤直径最小0.6 cm，最大8.6 cm；其中924例经病理切片组织学证实。 　　1.2 方法 　　对所有患者接诊以