钼靶二维定位法用于基层医院乳腺触诊阴性钙化灶切除的研究  

Practical research on the resection of breast nonpalpable calcifications by two-dimensional positioning method of molybdenum target in primary hospital

作　　者：丁以柱[1] 陈洁 马成权[1] DING Yizhu;CHEN Jie;MA Chenquan(Department of Breast and Thyroid ,Wanbei Coal Power Group General Hospital, Suzhou ,Anhui 234000, Chin)

机构地区：[1]皖北煤电集团总医院甲乳外科,安徽宿州234000

出　　处：《检验医学与临床》2018年第10期1390-1392,共3页Laboratory Medicine and Clinic

基　　金：安徽省自然科学基金面上项目(1608085MH01546)

摘　　要：目的探究钼靶二维定位在乳腺触诊阴性微小病灶的临床应用价值。方法选取2015年1月至2016年1月该院门诊体检的女性且乳腺触诊阴性、钼靶检查发现钙化灶的患者101例。按照手术切除方式不同分成2组,实验组66例采用钼靶二维定位切除钙化灶,对照组35例使用传统区段切除法,比较2组患者的手术情况及术后并发症。结果实验组患者切口长度和切除组织直径明显小于对照组,差异有统计学意义(P<0.05);2组病理结果比较差异无统计学意义(P>0.05)。术后并发症显示,实验组患者皮肤凹陷数目显著低于对照组,差异有统计学意义(P<0.05)。结论钼靶二维定位法对切除触诊阴性的乳腺钙化灶患者,不仅定位准确、术后美观,还能使乳腺癌患者及早确诊并接受正规治疗,值得基层医院推广及应用。Objective To explore the application value of mammography in two-dimensional localization in small breast nonpalpable lesions.Methods From January 2015 to January 2016,101 cases of women were taken into the research whose breast palpation results were negative but mammography examination found with calcification.According to the different surgical methods,they were divided into two groups.The experimental group had 66 patients with the method of molybdenum target two-dimensional positioning to remove the calcifications,while 35 cases in the control group were using the traditional segmental resection.The operation and postoperative complications were compared between the two groups.Results Operation situation of two groups of patients were compared,the incision length of the experimental group and the resected tissue diameter was significantly less than the control group,and the difference was statistically significant（P〈0.05）;and the two group compared with pathological results was not significant（P〈0.05）.The number of skin depression in the experimental group was significantly lower than that in the control group and the difference was statistically significant（P〈0.05）.Conclusion Mammography orientation in two-dimensional excision palpate negatie breast calcifications in the process was accurate and beautiful.It was worth popularizing in the grassroots.

关 键 词：乳腺肿瘤 钼靶定位 阴性乳腺病灶 

分 类 号：R445[医药卫生—影像医学与核医学]