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目的:探讨乳腺穿刺涂片与组织学的分析结果及其在乳腺肿瘤病变中的诊断准确性。方法:回顾性分析60例2013年6月至2015年8月龙川县妇幼保健院确诊治疗的乳腺肿瘤患者的临床资料,所有患者均给予乳腺穿刺涂片检查与病理组织学检查,依据肿瘤大小分为大肿瘤组(直径>3 cm,12例)、一般组(直径1.5~3 cm,35例)、小肿瘤组(直径<1.5 cm,13例),统计分析2种检查方法在乳腺肿瘤病变中的诊断情况。结果:穿刺涂片检查诊断乳腺肿瘤良恶性病变的阳性预测值、阴性预测值、敏感度、特异度、准确度分别为90.00%、92.00%、69.23%、97.87%、91.67%,在穿刺涂片检查诊断符合率方面,小肿瘤组>一般组>大肿瘤组,差异具有统计学意义(P<0.05)。结论:穿刺涂片检查在诊断乳腺肿瘤病变中具有良好的敏感性、特异性和准确性,可作为临床上有效的诊断手段之一,而肿瘤体积增大可能会影响穿刺涂片检查的准确性,对大肿瘤患者应给予足够的重视以避免误诊漏诊。
Objective: To investigate the results of breast puncture smear and histology and its diagnostic accuracy in breast neoplasm. Methods: The clinical data of 60 breast cancer patients diagnosed and treated in Longchuan County Maternal and Child Health Hospital from June 2013 to August 2015 were retrospectively analyzed. All the patients were given breast biopsy and histopathological examination. According to the tumor size (Diameter> 3 cm, 12 cases), general group (diameter 1.5 ~ 3 cm, 35 cases) and small tumor group (diameter <1.5 cm, 13 cases). Statistical analysis of the two methods in breast cancer Diagnosis of lesions. Results: The positive predictive value, negative predictive value, sensitivity, specificity and accuracy were 90.00%, 92.00%, 69.23%, 97.87% and 91.67% for the diagnosis of benign and malignant breast neoplasms respectively. Check diagnostic accuracy, small tumor group> general group> large tumor group, the difference was statistically significant (P <0.05). Conclusion: Puncture smear examination has good sensitivity, specificity and accuracy in the diagnosis of breast tumor lesions, which can be used as one of the clinically effective diagnostic methods. The increase of tumor volume may affect the accuracy of puncture smears , Large tumor patients should be given enough attention to avoid misdiagnosis.