钼靶示乳腺微小钙化灶彩超引导下麦默通活检的临床研究  

Clinical study on the ultrasound guided mammotome biopsy for micro-calcifications visible in mammography

作　　者：李浩 田申 孔令泉[1] 罗鑫荣[1] 魏余贤[1] 厉红元[1] 任国胜[1] 吴凯南[1] Li Hao;Tian Shen;Kong Lingquan;Luo Xinrong;Wei Yuxian;Li Hongyuan;Ren Guosheng;Wu Kainan(Department of Endocrine and Breast Surgery,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院内分泌乳腺外科,400016

出　　处：《中华内分泌外科杂志》2019年第6期497-499,共3页Chinese Journal of Endocrine Surgery

摘　　要：目的评估钮靶显示乳腺微小钙化灶彩超引导下麦默通活检的临床可行性及优势。方法选取重庆医科大学附属第一医院2017年6月至2018年12月共收治的钮靶显示乳腺微小钙化灶,经彩超引导下麦默通切除活检的12例患者临床资料,回顾性统计在行钮靶检查前的首次超声检査下的钙化灶发现率。计算超声引导下麦默通钙化灶切除活检成功率,分析超声引导下钙化灶麦默通切除活检的临床可行性与优势。结果12例中10例患者在接受钮靶检査前曾行单独超声检查,彩超发现钙化灶5例(50%),完善钮靶检査提示钙化灶后,12例患者均再次对铝靶所示钙化灶区域进行彩超复查并定位钙化灶,经超声引导下麦默通切除活检,其中1例患者钙化灶定位于铝靶麦默通难以切除的近皮肤乳房腺体层浅面。最终4例病检为乳腺良性病变,8例病检确诊为乳腺癌。结论超声引导下麦默通活检是一种可供乳腺钙化灶患者选择的良好活检方式,对于单独超声检查不可见的钙化灶,可结合钳靶检所示钙化灶方位,行超声再复核以提高钙化灶检出率。Objective To evaluate the clinical feasibility and advantages of ultrasound guided mammotome biopsy for micro-calcifications visible in mammography.Methods A total of 12 patients with mammography-revealed micro-calcifications examined by ultrasound guided vacuum-assisted biopsy in our hospital from Jun.2017 to Dec.2018 were enrolled in this study and their medical records data were analyzed.Results All 12 patients had accepted pre-biopsy ultrasound localization and all micro-calcifications were successfully excised.Among 12 cases,4 were revealed as benign breast diseases and 8 were diagnosed as breast cancer.Conclusions Ultrasound guided mammotome biopsy is found to be an alternative method to stereotactic biopsy in patients with US-detectable micro-calcifications,and re-scan ultrasonography focusing on the specific microcalcification area may be helpful for improving the ultrasound detection rate of micro-calcifications.

关 键 词：乳腺癌 微小钙化灶 彩超 钮靶 麦默通 

分 类 号：R737.9[医药卫生—肿瘤] R445.1[医药卫生—临床医学]