彩色超声结合钼靶X线摄片标记定位对无体征乳腺肿块的定位价值  

Localization and Diagnosis of Non-palpable Breast Lesion with Molybdenum Target X-ray and Ultrasound Localization

作　　者：权毅[1] 付华[1] 左怀全[1] 

机构地区：[1]泸州医学院附属医院乳腺外科,四川泸州646000

出　　处：《华西医学》2012年第8期1209-1211,共3页West China Medical Journal

摘　　要：目的总结彩色多普勒超声(彩超)结合钼靶X线摄片标记定位对无临床体征乳腺肿块的定位诊断价值。方法 2010年3月-2011年10月对48例彩超和钼靶X线检查发现可疑病灶而无任何临床体征的患者,在彩超引导下穿刺病灶金属导丝标记定位,并结合钼靶X线检查切除病灶,同时快速冰冻活检明确诊断。结果 48倒中有11例确诊为乳腺癌(浸润性导管癌7例,导管内癌4例),37例为良性病变(纤维瘤5例,导管内乳头状瘤4例,乳腺腺病28例)。冰冻切片病理检查与术后石蜡病检结果一致。结论彩超引导下穿刺钢丝标记定位活检结合钼靶X线摄片,有效地解决了乳腺细小钙化和微小病灶活检术中精确定位和完整切除的难题,对无临床体征的微小乳腺肿块的诊断准确、可靠、实用。Objective To explore the value of ultrasound combined with molybdenum target X-ray examination in diagnosing non-palpable breast lesion.Methods From March 2010 to October 2011,48 patients without palpable mass were found abnormal in the same location with color ultrasound and molybdenum target X-ray examination.The abnormal lesion was located with metallic guide wire under the color ultrasound,and the lesion was removed under the molybdenum target X-ray examination.Diagnosis was confirmed by sudden frost biopsy.Results Among the 48 patients,11 were diagnosed with breast cancer（including 7 invasive ductal cancer and 4 ductal carcinoma in situ）;37 had benign lesions（including 5 fibroma,4 intraductal papillary adenoma,and 28 hyperplasia）.Conclusion It is precise and effective in locating and diagnosing non-palpable breast lesion by ultrasound combined with molybdenum target X-ray examination.

关 键 词：乳腺肿块 彩色多普勒超声 钼靶X摄片 定位诊断 

分 类 号：R655.8[医药卫生—外科学]