DBT辅助引导2D乳腺病灶穿刺定位与传统FFDM引导法的对比分析  

Comparative Analysis of DBT-assisted Guided 2D Breast Lesions Puncture Localization and Traditional FFDM Guided Method

作　　者：郝学民 孔令燕[1] 郑福玲[1] 丁宁[1] 王天娇 李娟[1] 王玉红[1] 薛华丹[1] 孙强[2] HAO Xuemin;KONG Lingyan;ZHENG Fuling;DING Ning;WANG Tianjiao;LI Juan;WANG Yuhong;XUE Huadan;SUN Qiang(Department of Radiology,Peking Union Medical College Hospital,Beijing 100730,China;Department of Breast Surgery,Peking Union Medical College Hospital,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医院放射科,北京100730 [2]中国医学科学院北京协和医院乳腺外科,北京100730

出　　处：《中国医疗设备》2023年第6期91-96,共6页China Medical Devices

基　　金：中国医学科学院医学与健康科技创新工程项目(2021-I2M-1-014)。

摘　　要：目的与全数字乳腺X线摄影(Full-Field Digital Mammography,FFDM)直接引导法对比,探讨数字乳腺断层融合成像(Digital Breast Tomosynthesis,DBT)辅助引导二维(2-Dimention,2D)乳腺病灶穿刺定位的可行性,提高乳腺穿刺定位准确率。方法回顾性分析我院2019年1月至2021年8月由DBT辅助引导和FFDM直接引导下的2D乳腺穿刺定位患者132例,共计132个含有钙化成分的触诊阴性乳腺病灶(Non-Palpable Breast Lesions,NPBL),对两组患者数据进行统计学分析。结果两组患者在年龄、乳腺压迫厚度、压力方面无明显差异(P>0.05);两组患者针尖至病灶中心距离、定位总满意度均具有显著差异(P<0.001)。比较病灶一次性切除率结果,DBT辅助高于FFDM(84%vs.68%),具有统计学差异(P<0.05)。在手术切除效能上,DBT辅助引导下的敏感度、特异性、准确度均高于FFDM直接引导下的乳腺病灶穿刺定位。结论DBT辅助引导下的乳腺病灶穿刺定位准确度高于FFDM直接引导下的乳腺病灶穿刺定位,可作为乳腺X线引导下穿刺定位的常规操作方式。Objective To explore the feasibility of digital breast tomosynthesis(DBT)-assisted guide 2-dimention(2D)breast lesions compared with full-field digital mammography(FFDM)guided method,and to improve the accuracy of breast puncture localization.Methods A total of 132 patients with 2D breast puncture localization under DBT-assisted guidance and FFDM direct guidance were retrospectively analyzed between January 2019 and August 2021 in our hospital,including a total of 132 non-palpable breast lesions(NPBL)containing calcification.Statistical analysis was performed on the data of the two groups.Results There was no significant difference in age and breast compression thickness and pressure between the two groups(P>0.05).There were significant differences in the distance from needle tip to focal center and the total localization satisfaction between the two groups(P<0.001).The single-time resection rate of DBT assisted was higher than FFDM(84%vs.68%),and the difference was statistically significant(P<0.05).In terms of surgical resection efficacy,the sensitivity and accuracy of breast lesions puncture localization under DBT assisted was higher than that under FFDM guidance.Conclusion The accuracy of breast lesion puncture localization under DBT guidance is higher than that under FFDM guidance.It can be used as a conventional operation mode of breast X-ray guided puncture localization.

关 键 词：全数字乳腺X线摄影术 数字乳腺断层融合成像 乳腺病灶 穿刺定位 

分 类 号：R655.8[医药卫生—外科学] R814.42[医药卫生—临床医学]