严格掌握适应证是提高乳腺不可扪及病变X线立体定位核芯针活检及定位针置入切取活检成功率的保证  

Stereotactic Needle Biopsy of Non-palpable Mammary Lesion: Strict Selecting Proper Candidate

作　　者：彭东红[1] 李莹[1] 马捷[1] 王国红[1] 臧达[1] 周冬仙[2] 麦佩成[2] 

机构地区：[1]深圳市人民医院暨南大学第二附属医院放射科,518020 [2]深圳市人民医院暨南大学第二附属医院乳腺外科,518020

出　　处：《临床放射学杂志》2004年第5期386-389,共4页Journal of Clinical Radiology

基　　金：20 0 1年广东省卫生厅医学科研课题 (编号 :A 2 0 0 1613 )

摘　　要：目的　探讨如何进一步提高乳腺X线立体定位核芯针活检术 (SCNB)、乳腺X线立体定位细针定位活检术 (SNLB)的成功率。资料与方法　回顾性分析 113例拟行SCNB、SNLB病例 ,所有病例均为临床触诊阴性 ,X线片上发现可疑改变但不能定性的病灶 (nonpalpablebreastlesion ,NPBL) ,总结其成功与否的影响因素。结果　 72例拟行SCNB者 ,5 9例顺利完成 ,良性病变 4 3例 ,恶性病变 16例 ,13例未能完成 ;4 1例拟行SNLB者 ,37例顺利完成 ,良性病变 2 6例 ,恶性病变 11例 ,4例未能完成。决定其成功与否的因素包括病灶定位标志是否明显、乳房整体状况、病灶在乳房中的位置及患者的身体状况。结论　NPBL是SCNB及SNLB的主要适应证 ,少数NPBL不适合这两项检查 。Objective To improve the success rate of stereotactic needle core biopsy (SCNB) and stereotactic mammographic needle-localized biopsy (SNLB).Materials and Methods One hundred and thirteen cases with breast lesion, which were non-palpable clinically but could be detected on mammograph, underwent SCNB or SNLB. Factors influencing the success rate of SCNB and SNLB were analyzed.Results Of 72 cases receiving SCNB, the procedure was successfully completed in 59, of which the lesion was benign in 43 and malignant in 16. Of 41 cases receiving SNLB, the procedure was well completed in 37, of which the lesion was benign in 26 and malignant in 11. Factors influencing success rate included the accuracy of localizing mark, lesion's site within the breast and patient's physical condition.Conclusion SCNB and SNLB are mainly used in diagnosing non-palpable breast lesion. Strict selecting the proper candidate is the guarantee against technical failure.

关 键 词：乳腺 隐匿性病灶 核芯针活检术 细针定位活检术 

分 类 号：R814.41[医药卫生—影像医学与核医学]