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全數(shù)字化X線立體定位下導(dǎo)絲導(dǎo)向切除活檢對乳腺隱匿性病變的臨床應(yīng)用
【摘要】 目的 探討乳腺全數(shù)字化X線立體定位下導(dǎo)絲導(dǎo)向切除活檢對乳腺隱匿性病變的診斷價值。方法 回顧性總結(jié)22例臨床未觸及乳腺病變的患者應(yīng)用全數(shù)字化X線立體定位導(dǎo)絲導(dǎo)向切除活檢術(shù)。結(jié)果 22例患者中，全部成功，發(fā)現(xiàn)早期乳腺癌3例，重度不典型增生1例，乳腺導(dǎo)管內(nèi)乳頭狀瘤4例，乳腺增生病6例，硬化性腺病4例，乳腺纖維腺瘤4例。結(jié)論 應(yīng)用LORAD數(shù)字化俯臥式X線立體定位下導(dǎo)絲導(dǎo)向切除活檢臨床不可觸及病變，是一種確診早期乳腺癌的重要方法。
【關(guān)鍵詞】 乳腺隱匿病變 倒鉤針標(biāo)記活檢 乳腺X線攝影
Clinical application of stereo tactic mammography needle localization biopsy in non-palpable breast lesions
ZHENG Ai-qiu,et al.
Department of Breast Disease,Shenzhen Maternity&Child Healthcare Hospital, Southern Medical University,Shenzhen,Guangdong 518028 China醫(yī).學(xué)全.在.線gydjdsj.org.cn
【Abstract】 Objective To evaluate the needle localization biopsy in diagnosis of non-palpable breast lesions. Methods Twenty-two cases were retrospectively, who underwent stereo tactic mammography needle localization biopsy. Results Successful location was obtained in 22 cases, with the outcome of early breast cancer in 3,1 serious non-atypical hyperplasia,4 intraductal papilla, 6 hyperplasia,4 mammary dysplasia,4 fibroadenoma.Conclusions Stereo tactic mammography needle localization biopsy plays an important role in the early diagnosis of non-palpable breast cancer.
【Key words】 Non-palpable breast lesions Needle localization biopsy Mammography
乳腺癌是危害婦女健康的主要惡性腫瘤之一，鉬靶X線攝片是發(fā)現(xiàn)臨床不可觸及乳腺病變的重要方法。隨著乳腺鉬靶X線攝影設(shè)備技術(shù)的不斷改進、更新，乳腺癌普查工作的廣泛開展，已有越來越多的臨床觸診陰性的微小病灶被X 線片檢出。對這些可疑病變，為明確其性質(zhì)，需行乳腺手術(shù)活檢。我們對22例臨床未觸及病變但鉬靶發(fā)現(xiàn)鈣化灶患者進行X線立體定位導(dǎo)絲導(dǎo)向切除活檢術(shù)，活檢標(biāo)本進行病理檢查，現(xiàn)將資料總結(jié)結(jié)果報道如下。
1 臨床資料
