2340
③黄丽萍等["]报道乳腺粗针穿刺活检在原位癌与浸润性癌的判别上存在不足，同时存在组织学低估间题，因此乳腺穿刺活检诊断为原位癌或导管上皮内瘤时仍需要进一步行术中活检。本组未遇到上述病例。本文认为穿刺病理结果阴性面临床高度怀疑恶性以及穿刺病理疑有组织学低估者，应再次穿刺或建议手术切除活检。
yew
图1实时星承强回声针道声像图
Fig. 1 Real time display of echogenic needle tract sonography 综上所述，高频超声引导下14G粗针活检术对乳腺肿块
诊断具有确诊率高、创伤小、取材成功率高、并发症少、可重复取材等优势，能弥补单纯影像诊断的不足面提高早期乳腺癌的检出率，能为临床治疗提供准确可靠的病理依据，操作简单便于在基层医疗单位推广应用。
【参考文献】
[1]
吴在德，吴肇汉外科学【M].北京：人民卫生出版社，2006
327.[2]
Gerd S, Sylvia J, Lothar P, et al. US guided 14 - gauge core -needle breast biopsy: Results of a Validation Study in 1352 cases
赵凯华，等象限切除法治疗重度乳腺囊性增生症伴乳房下重
[J]. Radiology,2008,248(8) :406 413.[3]
Hiroyuki Abe, Robert A, Kirti K,et al. Axillary lymph nodes suspi cious for breast cancer metastasis; Sampling with US guided 14 gauge core needle biopsy clinical experience in 100 patients[J]. Radiology,2009,250(1) ;42 49.
[4]
田洪普，田洪旭，王方娟，彩色多普勃超声与超声引导下穿刺活检诊断乳腺小肿块的临床研究[]，现代肿瘤医学，2011，19(5) :931 935.
于泳，傅西林，牛略，等.10501例次乳腺病变冷冻切片诊断分[5]
析与体会[J]，中国肿增临床，2003，30（5）357360
[9][7]
虎小君.560例乳腺肿块针吸细胞学检查与组织学诊断对比观累[]].重庆医学，2010,39(3)：338339.
张晴，季秀珍，何英，等.超声引导粗针活检及触诊下细针活检对颈部肿块的诊断对比观累[J].现代肿瘤医学，2011，19（7）： 1329 1330
[8]
Youk JH, Kim EK. Atypical papilloma diagnosed by sonographically guided 14 gauge core needle biopsy of breast mass[J]. AJR Am J Roentgenol,2010,194(5) :1397 1402
[6][on]
赵曼，胡松，潘金娣，等，超声引导下经皮乳腺粗针活检术的临床应用[J].现代肿编医学，2008，16(11)：19081910.
De Lacena CE, Dos Santos Junior JL, De Lima Resende CA,et al. Ultrasound guided core needle biopsy of breast masses: How many cores are necessary to diagnose cancer[J]. J Clin Ultra sound,2007,35 ;363 366
黄丽弹，翟伟，黄云美，等，乳腺粗针穿刺活检组织条数目对活
[11]
检准确率的影响[J.南昌大学学报（医学版），2011,51(5：
5355
象限切除法治疗重度乳腺囊性增生症伴乳房下垂赵凯华，颜政，宫磊，王启堂，王炳高，邹晓
（编校：张西敏）
Treatmentofbreastcystichyperplasiacombinedwithmastoptosisbyquadrantectomy Zhao Kaihua,Yan Zheng,Gong Lei, Wang Qitang,Wang Binggao,Zou Xiao
Department of Breast Surgery,Second Afiliated Hospital of Qingdao Unieersity,Shandong Qingdao 266042,China
[Abstract]Objective: To discuss the application and clinical significance of quadrantectomy in the treatment of mass typed breast cystic hyperplasiacombined with mastoptosis. Methods: The patient was in a standing position. The incision was designed in the following steps : Firstly found the location of the new nipple,from the sternum in 19 21cm and midline 9 11cm,draw the location of the new nipple,then draw an circle(3. 5 4. Ocm in diameter) with the original/new nipple as its center. A rim of epidermis between the tangent,and deep subcutaneous tissue was dis-sected,and the lesion with cystic hyperplasia was resected. The rest breast tissue was then re approximated and mas-topexy was performed. Results : From January 2007 to June 2012,22 patients with cystic hyperplasia combined with
【收稿日期】 2014-03-02
青岛大学医学院第二附属医院乳腺科，山东 青岛266042
【作者单位】
【作者篇介】【通讯作者】
赵凯华（1984-），男，山东潍坊人，硕士，医师，主要从事乳腺疾病临床诊断及治疗工作。E-mail：sdfkh@163.com
颜政（1963-），男，潮南茶改人，博士，主任医师，主要从事乳腺疾病临床诊断及治疗工作。E-mail;haokaihuaduan@163.com