乳腺触诊阴性病灶定位活检技术的临床应用.pdfVIP

·2721· ·论著· 乳腺触诊阴性病灶定位活检技术的临床应用 陈琦张晓君 史立晖李智 王景 【摘要】 目的探讨钼靶及超声引导下细针定位活检术在临床触诊阴性的乳腺疾病中的临床应用价 值。方法对148例临床触诊阴性仅钼靶或超声发现乳腺微小病灶的患者，通过钼靶或超声引导细针定位， 放入定位导丝，外科手术切除活检。经组织病理检查明确诊断，统计分析病灶良恶性、病灶大小、完全切除率 等。结果148例临床触诊阴性病灶中，恶性病灶2l例(14．2％)，均为早期乳腺癌；良性病灶127例 (85．8％)。147例病灶一次切除成功，1例补切一次成功。结论乳腺钼靶及超声引导下定位活检技术在临 床触诊阴性乳腺疾病诊治中具有重要意义，提高了无肿块乳腺癌的早期诊断，简便易行，便于推广。 【关键词】乳腺钼靶x线摄影；乳腺超声；乳腺触诊阴性病灶；定位活检 in disease Theclinicalvalueofneedlelocalization clinical breast Chen technique nonpalpable Qi， biopsy Maternaland蕊谢Health Lihui，LiZhi，Wang Hospital ZhangXiaojun，Shi Jing．DepartmentofSurgery，the ofTong- zhou 101 101，China District，Be讲ng To theclinicalvalueof andultrasoundneedlelocalization 【Abstract】Objective mammography biopsy study inclinical breastdisease．Methods148 with clinical were technique nonpalpable patientsnegative palpationopera- ted becauseofthe orultrasoundof were localizedexcision findings only mammography lesions．Theyundergone biopsy andderiveddefinite and pathologicaldiagnosis．Byhistopathologydiagnosis，benignmalignantlesions，lesionsize， resectionratewere 21casesin148caseswere complete statisticallyanalyzed．Results lesions(14．2％)， malignant whichwereall breastcancer．Theother127caseswere breast casesweresuccess- early benign disease(85．8％)．147 resectedatthefirsttimeand1 casewas resectedatthesecond successfully time．Conclu