乳腺X线立体定位侧斜位X轴入路钢丝置入的探讨  

Implantation of Steel Wire along X-Axis from an Oblique Lateral Direction under the Guidance of Stereotactic Mammography

作　　者：马捷[1] 麦佩成[1] 周冬仙[1] 张桂英[1] 彭东红[1] 王国红[1] 曹满瑞[2] 杨建梅[3] 徐坚民[1] 

机构地区：[1]深圳市人民医院暨南大学第二附属医院放射科,甲乳外科,深圳518020 [2]深圳市妇幼保健院放射科,深圳518026 [3]天津医科大学附属肿瘤医院放射科,天津300060

出　　处：《中国微创外科杂志》2008年第6期491-494,共4页Chinese Journal of Minimally Invasive Surgery

基　　金：深圳市重点医学专科项目;深圳市科技局项目基金(200404025)

摘　　要：目的探讨乳腺X线立体定位侧斜位X轴入路钢丝置入的应用。方法三家医院2005年5月~2007年3月对102例(105个病变)行乳腺X线立体定位下金属钢丝置入。常规坐位操作69例,另33例因常规坐位定位失败或位置特殊行侧斜位入路定位。结果与常规坐位相比,侧斜位定位不适发生率低[12%(4/33)vs35%(24/69),χ2=5.756,P=0.016],血管迷走神经反应发生率低[3%(1/33)vs22%(15/69),χ2=5.908,P=0.015],顺利设定靶点成功率高[88%(29/33)vs43%(30/69),χ2=18.048,P=0.000],一次锚定准确率高[94%(31/33)vs45%(31/69),χ2=22.496,P=0.000],定位成功率高[91%(30/33)vs23%(16/69),χ2=41.349,P=0.000]。病变完整切除率差异无显著性[97%(32/33)vs87%(60/69),χ2=1.525,P=0.217]。结论侧斜位X轴入路乳腺X线立体定位细针定位活检术对特殊部位不可触及的乳腺病变是一种有效的定位方法。Objective To discuss the application of implantation of steel wire along X-axis from an oblique lateral direction under the guidance of stereotactic mammography. Methods From May 2005 to March 2007, 102 cases of implantation of steel wire (105 lesions) were enrolled in this study. The operation was performed under the guidance of stereotactic mammography. Among the cases, the steel wire was implanted with the patients in a sitting position in 69 cases; the other 33 cases received the implantation along the ...

关 键 词：乳腺肿瘤 放射摄影术 活组织检查 

分 类 号：R737.9[医药卫生—肿瘤]