天堂国产午夜亚洲专区-少妇人妻综合久久蜜臀-国产成人户外露出视频在线-国产91传媒一区二区三区

當(dāng)前位置:主頁 > 醫(yī)學(xué)論文 > 腫瘤論文 >

術(shù)前空芯針穿刺活檢和開放式手術(shù)活檢對乳腺癌預(yù)后影響的比較研究

發(fā)布時間:2018-11-26 15:47
【摘要】:目的: 探討乳腺癌患者CNB與OSB相比,其準(zhǔn)確性、影響準(zhǔn)確性的因素及對預(yù)后的影響。 方法: 回顧性分析吉林大學(xué)第一醫(yī)院1106例行手術(shù)治療的乳腺癌患者的臨床病理資料。根據(jù)術(shù)前診斷方法將其分為CNB組(n=553)和OSB組(n=553)。比較兩組間臨床病理信息、DFS和OS的差異。所有的統(tǒng)計數(shù)據(jù)以SPSS軟件進(jìn)行計算和分析。統(tǒng)計學(xué)結(jié)果以p0.05為差異有統(tǒng)計學(xué)意義。卡方檢驗用于分析計數(shù)資料的組間差異(必要時應(yīng)用Fisher精確檢驗)。COX比例風(fēng)險模型用于可能影響乳腺癌患者預(yù)后的單因素和多因素分析并以95%為可信區(qū)間。 結(jié)果: CNB診斷符合率為97.6%,病理檢出率為89.7%。以下幾種情況下,CNB病理診斷的符合率較低:腫物伴有鈣化,穿刺病理為導(dǎo)管內(nèi)癌、導(dǎo)管內(nèi)癌伴微小浸潤和非典型增生。與OSB組相比,CNB未增加患者局部復(fù)發(fā)率(P=0.363);顧z方式(CNB vs OSB)不作為影響患者DFS(P=0.087,95%CI:0.919~3.448)和OS(P=0.453,95%CI:0.627~2.848)的因素。活檢日期-手術(shù)日期間的間隔時間也不作為影響患者DFS(P=0.054,95%CI:0.353~1.008)和OS(P=0.223,95%CI:0.397~1.240)的因素。 結(jié)論: 術(shù)前空芯針穿刺活檢是一種安全可靠的術(shù)前診斷方式,值得臨床應(yīng)用與推廣。
[Abstract]:Objective: to investigate the accuracy, influencing factors and prognosis of CNB compared with OSB in breast cancer patients. Methods: the clinicopathological data of 1106 patients with breast cancer treated surgically in the first Hospital of Jilin University were analyzed retrospectively. According to the preoperative diagnosis method, the patients were divided into two groups: CNB group (NV 553) and OSB group (n = 553). The differences of clinicopathological information, DFS and OS were compared between the two groups. All statistics are calculated and analyzed by SPSS software. There was a significant difference in the statistical results between the two groups (p 0.05). Chi-square test was used to analyze the differences between groups of counting data (Fisher accurate test of). COX proportional risk model was used for univariate and multivariate analysis of breast cancer patients with 95% confidence interval when necessary. Results: the diagnostic coincidence rate of CNB was 97. 6% and the pathological detection rate was 89. 7%. The coincidence rate of pathological diagnosis of CNB was low: tumor with calcification, biopsy with ductal carcinoma, intraductal carcinoma with microinvasion and atypical hyperplasia. Compared with OSB group, CNB did not increase the local recurrence rate (P0. 363). (CNB vs OSB) was not a factor affecting DFS (P0. 087: 95) and OS (P0. 453 / 95 CI: 0. 627 / 2. 848) of the patient's DFS (P < 0. 087) and OS (P = 0. 453 / 95 CI: 0. 627 / 2. 848). The interval between biopsy date and operation day was also not a factor affecting the patient's DFS (P0.054 / 95) and OS (P0. 22395 CI: 0. 3971.240). Conclusion: preoperative hollow needle biopsy is a safe and reliable preoperative diagnostic method, and it is worthy of clinical application and popularization.
【學(xué)位授予單位】:吉林大學(xué)
【學(xué)位級別】:碩士
【學(xué)位授予年份】:2015
【分類號】:R737.9

【參考文獻(xiàn)】

相關(guān)期刊論文 前1條

1 伍堯泮,蔡培強(qiáng),張偉章,唐軍,顧仰葵,李立,歐陽翼,何潔華,林浩皋;細(xì)針抽吸、粗針切割和病灶染色切除三種方法診斷非捫及性乳腺疾病的比較[J];癌癥;2004年03期

,

本文編號:2358977

資料下載
論文發(fā)表

本文鏈接:http://sikaile.net/yixuelunwen/zlx/2358977.html


Copyright(c)文論論文網(wǎng)All Rights Reserved | 網(wǎng)站地圖 |

版權(quán)申明:資料由用戶9441f***提供,本站僅收錄摘要或目錄,作者需要刪除請E-mail郵箱bigeng88@qq.com
亚洲欧美日韩熟女第一页| 国产又粗又猛又爽又黄的文字| 国内自拍偷拍福利视频| 很黄很污在线免费观看| 日本高清加勒比免费在线| 丝袜av一区二区三区四区五区| 97人摸人人澡人人人超碰| 在线观看那种视频你懂的| 国产欧美日韩一级小黄片| 精品伊人久久大香线蕉综合 | 亚洲国产成人精品一区刚刚| 黄男女激情一区二区三区| 国产免费人成视频尤物| 亚洲午夜av一区二区| 91亚洲精品亚洲国产| 热久久这里只有精品视频| 国产又粗又猛又爽又黄| 爱草草在线观看免费视频| 久久精品伊人一区二区| 国产在线观看不卡一区二区| 大香蕉网国产在线观看av| 国产二级一级内射视频播放| 中文文精品字幕一区二区| 熟妇久久人妻中文字幕| 欧美成人免费夜夜黄啪啪| 视频一区二区黄色线观看| 免费一级欧美大片免费看| 欧美日韩国产欧美日韩| 日韩精品一区二区三区av在线| 午夜视频成人在线观看| 欧美日韩校园春色激情偷拍 | 日本东京热加勒比一区二区| 午夜福利视频六七十路熟女| 亚洲一级二级三级精品| 日本高清视频在线观看不卡| 国产熟女一区二区不卡| 三级理论午夜福利在线看| 91福利视频日本免费看看| 欧美日韩亚洲精品内裤| 午夜精品一区免费视频| 国产av一区二区三区久久不卡|