乳腺三维立体定位穿刺在乳腺微小钙化灶活检的效果分析  

Application of three-dimensional stereotacticin breast biopsy for microcalcification lesions

作　　者：李振亚[1] 刘秋红[1] Li Zhenya;Liu Qiuhong(Xuzhou Central Hospital,Xuzhou 221000,China)

机构地区：[1]江苏省徐州市中心医院

出　　处：《广西医科大学学报》2019年第7期1195-1197,共3页Journal of Guangxi Medical University

摘　　要：目的:探讨乳腺三维立体定位穿刺在乳腺微小钙化灶活检中的应用效果。方法:对72例在乳腺钼靶下显示乳腺有微小钙化灶的患者行乳腺三维立体定位穿刺活检并对微小灶进行切除,统计其穿刺成功率、不良反应发生情况,并分析活检病理诊断结果与手术切除后病理结果的符合程度。结果:72例患者1次取样成功率为95.83%(69/72),另有3例患者在第2次穿刺后成功取样,总穿刺成功率为100%,未见不良反应;病理诊断均为乳腺癌,其中导管内原位癌18例,小叶原位癌14例,小叶癌早期浸润21例,导管癌早期浸润13例,浸润性小叶癌6例。2例活检术后钼靶显示残留病灶,再次手术切除。6例浸润性小叶癌患者中5例行保乳术,1例失访。三维立体定位穿刺活检的病理诊断结果与手术切除后病理结果相一致。结论:对于乳腺微小钙化灶,乳腺三维立体定位穿刺活检穿刺成功率高,且具有安全性高、诊断准确的优点,值得推广应用。Objective: To explore the effect of 3D stereotactic breast biopsy application in breast microcalcification. Methods: A total of 72 patients with mammary microcalcifications under the mammography and mammography were subjected to three-dimensional biopsy of the breast and to resect the total small lesions.The specimens were examined for pathology. Results: The success rate of sampling in 72 patients was 95.83%(69/72),and 3 patients were successfully sampled after the second puncture.The total puncture success rate was 100%.No adverse reactions were observed.The pathological diagnosis was breast cancer.18 cases of carcinoma in situ,14 cases of lobular carcinoma in situ,21 cases of early infiltration of lobular carcinoma,13 cases of early infiltration of ductal carcinoma,6 cases of invasive lobular carcinoma,2 cases of residual target of molybdenum after biopsy,reoperation excision,5 of 6 patients with invasive lobular carcinoma underwent breast-conserving surgery and 1 was lost to follow-up.The pathological diagnosis of the three-dimensional stereotactic biopsy was consistent with the pathological results after surgical resection. Conclusion: In the clinical diagnosis of microcalcification of breast,the three-dimensional stereotactic biopsy has a high success rate,and it has the advantages of high safety and accurate diagnosis.It can play a huge role in the early diagnosis of breast cancer and is worthy of popularization and application.

关 键 词：乳腺三维立体定位 穿刺活检 乳腺微小钙化灶 

分 类 号：R[医药卫生]