^(99m)锝腋窝扫描在选择乳腺癌手术方案中的临床价值  

The value of 99m Tc MIBI image axillary lymph node in selecting operative method for breast cancer

作　　者：屈翔[1] 王宇[1] 陈道荫[1] 李春林[1] 

机构地区：[1]首都医科大学附属北京友谊医院普外科

出　　处：《中华外科杂志》1999年第1期41-43,共3页Chinese Journal of Surgery

摘　　要：目的保留未被癌浸润的腋淋巴结，使其进一步发挥免疫功能。方法术前经肿物针吸细胞学检查和切除肿物组织学检查确诊为乳腺癌，并以９９ｍ锝甲氧基异丁基异腈（９９ｍＴｃＭＩＢＩ）腋窝显像判断腋淋巴结有无癌浸润。以术后腋窝组织标本病理检查结果作为金标准，将２种检查方法的敏感性，特异性和准确性相比较。结果外科检查的敏感性、特异性、准确性分别为６４３％、７３９％、７０３％；９９ｍＴｃＭＩＢＩ腋窝显像的敏感性、特异性、准确性分别为８５７％、９１３％、８９２％。经χ２检验，９９ｍＴｃＭＩＢＩ腋窝显像的敏感性，准确性与外科检查相比有显著意义提高（Ｐ＜００５）。结论９９ｍＴｃＭＩＢＩ腋窝显像可与外科检查相结合。Objective To retain axillary lymph node not infiltrated by cancer cell. Methods Breast cancer was diagnosed by fine meedle aspiration cytology(FNA) or tumor biopsy before operation.Axillary lymph node was examined by surgery and 99m Tc MIBI image. Pathological examination of the axillary tissue after operation is used as gold standard in comparison of the two examination methods. Results The sensitivity,specivity, and accuracy of surgical examination are lower than those of 99m Tc MIBI image ( P <0 05). Conclusions 99m Tc MIBI image combined with surgical examination can be used as a method for retaining axillary lymph node.

关 键 词：乳腺癌 放射性核素显微 锝99M 手术方案选择 

分 类 号：R737.905[医药卫生—肿瘤]