乳腺X线立体定位术的临床应用  

Clinical application of mammary mammography stereotactic technique

作　　者：李白艳[1] 靳勇[1] 玄祖旗[1] 栾梅香[2] 张新峰[2] 马彬林[3] 邵华[1] 

机构地区：[1]新疆医科大学第一附属医院影像中心,新疆乌鲁木齐830054 [2]新疆医科大学第一附属医院普外科,新疆乌鲁木齐830054 [3]新疆医科大学附属肿瘤医院外二科,新疆乌鲁木齐830000

出　　处：《新疆医科大学学报》2002年第4期416-417,共2页Journal of Xinjiang Medical University

摘　　要：目的 :评价乳腺立体定位核心针活检和留置导丝指导手术的临床应用价值。方法:应用乳腺 X线机对13例乳腺疾病患者中共 15个病灶进行立体定位核心针穿刺活检及病灶内留置导丝指导手术 ,并将结果与手术病理结果对照。 结果:定位穿刺活检 10例患者中 11个病灶 ,诊断结果与手术标本病理结果完全一致 ,准确率为10 0 % ;定位留置导丝 3例 4个隐匿性病灶 ,均在术后证实了定位的准确性。 结论:乳腺 X线立体定位术既能在术前明确病变的性质 ,又可指导隐匿性病灶的手术切除 。Objective: To evaluate the stereotactic core needle biopsy(SCNB) and hook wire location guidance breast surgery through mammography stereotactic puncture. Methods: Thirteen patients with 15 suspected breast lesions were examined by SCNB or wire location. The pre operative diagnosis were reviewed with the surgical pathology. Results: The diagnosis of SCNB was consisted with the surgical pathology completely, the diagnostic accuracy of this method was 100%; indwelling wire placed in 4 lesions were all conformed by operation. Conclusion: The mammography stereotactic could not only category the character of lesions before operation but also guide operation of non palpable lesions. It has a good prospect in early diagnosis and therapy of breast lesions.

关 键 词：乳腺 X线立体定位术 临床应用 活检 定位导丝 诊断 乳腺癌 

分 类 号：R737.9[医药卫生—肿瘤]