全数字化乳腺X线立体定位及切除技术对触诊阴性乳腺病灶的应用  

Application of Fully Digital Mammography Stereotactic and Removal Tech-nology to the Nonpalpable Breast Lesion

作　　者：董文龙 

机构地区：[1]丹东市人民医院普外科,辽宁丹东118000

出　　处：《中外医疗》2015年第14期181-182,185,共3页China & Foreign Medical Treatment

摘　　要：目的探讨全数字化乳腺X线立体定位及切除技术对触诊阴性乳腺病灶的应用价值。方法对146例乳腺触诊阴性病灶行X线检查确定病灶位置,采用导丝立体定位乳腺病灶,根据定位导丝指引完整切除病灶及定位导丝,切除标本行X线检查,证实预定病灶已完整切除,标本做病理检查,确定病灶的病理类型。结果 146例乳腺病灶中乳腺癌21例,占14.38%(21/146),癌前病变(非典型增生17例,导管内乳头状瘤病6例)共23例,占15.75%(23/146),良性病变102例,占(69.86%,102/146)。结论立体定位切除活检对触诊阴性乳腺病灶定位准确,可以早期发现乳腺癌及癌前病变,对提高乳腺癌的早期诊断率、提高乳腺癌的二级预防具有一定的临床应用价值。Objective To investigate the application value of fully digital mammography stereotactic and removal technology to the nonpalpable breast lesion. Methods In 146 cases of the negative nonpalpable breast lesions,applying mammography to determine the focal position, and using located needles stereotactic positioning breast lesions, according to the guide of positioning located needles completely cut off the lesions and located needles, then do mammography examination, to confirm reservation lesions have been completely resected, specimen for pathological examination, determine the pathological types.Results In 146 cases of breast lesions ,21 cases of breast cancer, accounting for 14.38%（21/146）, 8 cases of breast carcinoma in situ （38.09%, 8/21）, 12 cases ofⅠperiod of breast cancer （57.14%, 12/21）, 1 case ofIIperiod breast cancer （4.76%, 1/21）, precancerous lesions （17 cases of atyp-ical hyperplasia , 6 cases of intraductal papilloma disease）, a total of 23 cases, accounted for 15.75% （23/146）, 102 cases of be-nign lesions （69.86%, 102/146）. For breast cancer cases with breast-conserving surgery, Mammary gland resection alone and breast modified radical.Conclusion Full field digital mammography can detect untouched clinical breast neoplasm,and preliminary judge about the nature according to the mammography. Stereotactic needle localized biopsy sometimes is necessary. Stereotactic needle localized biopsy locates accurately to nonpalpable breast lesions ,it can detect of breast cancer and precancerous lesions early, and it has certain clinical application value of improving the early diagnostic rate of breast cancer and the secondary pre-vention of breast cancer.

关 键 词：立体定位下乳腺切除 数字化乳腺立体定位 触诊阴性病变乳腺成像 

分 类 号：R4[医药卫生—临床医学]