侧卧式X线立体定位术在乳腺微钙化病灶中的临床研究  

Clinical study of X-ray stereotactic guided biopsy in lateral decubitus position for breast lesions with microcalcifications

作　　者：龚柳燕[1] 刘凤梅[1] 裘娟[1] 梁云[1] 韦金秀[1] 

机构地区：[1]桂林市中医医院放射科,广西541002

出　　处：《放射学实践》2014年第6期659-662,共4页Radiologic Practice

基　　金：广西壮族自治区科技厅立项项目资助(1298003-8-7)

摘　　要：目的:探讨侧卧位术前X线导丝定位技术对乳腺微钙化病灶的应用价值。方法:选取120例乳腺微钙化病灶,随机分为侧卧式研究组及坐式对比组进行术前导丝立体定位,留置导丝引导外科手术进行切取活检。结果:两种不同定位方式中,针尖与病灶的距离、定位中不良反应及定位成功率方面有显著差异性(P<0.01);在切检成功率方面两者无显著差异性(P>0.05)。结论:侧卧式X线立体定位导丝引导下切取活检是提高乳腺微钙化病灶诊断率的有效方法。Objective：To investigate the value of lateral decubitus position of patient in preoperative stereotactic guided wire-loclized breast biopsy for lesions with microcalciifications.Methods：120 patients with breast lesions with micro-calcifications were randomly divided in two groups;group A：patients in lataral decubitus position （60 cases）,and group B：patients in sitting position （60 cases）.Preoperative stereotactic guided wire-localized breast biopsy was performed in every case with the same procedures.Results：In comparing the two groups of positioning of patients,there was significant statistical difference between the two groups in the distance between the wire tip and the lesion center,in the adverse reaction and success rate of localization （P〈0.01）.There was no significant statistical difference in the success rate of surgical incisional biopsy between the two groups （P〉0.05）.Conclusion：Application of lateral decubitus position of patients in stereotactic guided wire-localized incisional biopsy is an effective method in breast lesions with microcalcifications.

关 键 词：乳房X线摄影术 患者定位 乳腺疾病 

分 类 号：R737.9[医药卫生—肿瘤] R730.44[医药卫生—临床医学]