全屏数字化平板乳腺机在乳腺术前定位的应用价值  

Preoperative mammography needle loealization for surgical biopsy in patients with non-palpable breast lesions

作　　者：吴秀蓉[1] 钟山[2] 余旭茗[1] 洪明[1] 吴婧[1] 沈秋月[1] 罗小华[1] 魏文苹[1] 吴昕漪[3] 许林[4] 佘宏强 

机构地区：[1]福建医科大学附属厦门第一医院放射科,361003 [2]福建医科大学附属厦门第一医院病理科,361003 [3]福建医科大学附属厦门第一医院乳房科,361003 [4]福建医科大学附属厦门第一医院肿瘤外科,361003

出　　处：《影像诊断与介入放射学》2005年第3期165-167,共3页Diagnostic Imaging & Interventional Radiology

摘　　要：目的评价全屏数字化乳腺机(FFDM)在外科术前定位隐匿性乳腺病灶的临床应用价值。方法24例经FFDM检查发现而临床不能触及的26个乳腺病灶在FFDM定位下穿刺,于病灶内留置导丝,指导外科手术活检。结果24例26个隐匿性病灶X线表现包括微钙化20个,局部结构紊乱2个、小结节4个。一次性定位满意率为92.3%。术中冰冻切片检查,6个病灶为恶性(占23.1%),临界性病变4个,16个为良性。结论应用FFDM行外科术前定位活检,方便、快捷、定位准确高,尤其在明确疑癌微钙化性质方面,是诸多术前定位法的首选。Objective To evaluate the clinical significance Of FUll- Field Digital Mammography （FFDM） for non- palpable breast lesion（NPBL） in preoperative needle localization biopsy（NLB） . Methods Surgical biopsy were performed in 24 patients with NPBL and a guiding wire was indwelling in the suspected spot using FFDM. Results 26 lesions were found on mammograms in 24 patients. The satisfactory rate of localization with one procedure was 92.3%. Pathological resuhs of frozen section showed malignant in 6 lesions（23.1% ） ,benignin 16 lesions（61.5% ） ,and transitional in 4 lesions（15.4% ） . Conclusion NLB is an effective tool for the detection, localization and resection of NPBL before operation of breast carcinoma in early stage.

关 键 词：全数字化乳腺摄影乳腺隐匿性病灶X线定位手术活检 临床应用价值 术前定位法 乳腺机 数字化 术中冰冻切片检查 隐匿性病灶 平板 乳腺病灶 手术活检 

分 类 号：R816.4[医药卫生—放射医学]