钼靶X线术前定位在触诊阴性乳腺病变定性诊断及治疗中应用效果分析.docVIP

钼靶X线术前定位在触诊阴性乳腺病变定性诊断及治疗中应用效果分析 　　[摘要]目的 分析钼靶X线术前定位在触诊阴性乳腺病变定性诊断及治疗中的应用效果。方法 选取2013年1月～2016年1月新余市人民医院收治的70例临床触诊阴性乳腺病变患者，所有患者均通过钼靶X线检查后发现异常并在术前使用钼靶X线定位观察病变部位，在定位后放置定位针。术中进行切片检测，若为良性病变则行病灶切除术；若为恶性病变则行乳癌改良根治术。分析术前钼靶X线检查的准确度、特异度、敏感度。结果 70例患者中，乳腺浸润性癌10例（14.3%）、导管内癌4例（5.7%）。所有患者均一次性切除病灶，其中14例行根治手术。70例患者术前钼靶X线定位病灶的准确度高达97.1%，钼靶X线定位检测结果为良性病变56例（80.0%）、恶性病变14例（20.0%），敏感度为92.9%，特??度为98.2%。结论 钼靶X线在临床触诊阴性乳腺病变定性诊断方面具有较好的应用效果，并且能够有效定位病变部位，有助于保障手术的有效性，进而提升患者的生存质量。 　　[关键词]钼靶X线；触诊阴性乳腺病变；诊断；治疗 　　[中图分类号] R737.9 [文献标识码] A [文章编号] 1674-4721（2016）11（a）-0070-04 　　[Abstract]Objective To evaluate the application effect of preoperative positioning by molybdenum X-ray on qualitative diagnosis and treatment of palpation-negative breast lesions.Methods Seventy patients with clinical palpation-negative breast lesions from January 2013 to January 2016 in Xinyu People′s Hospital were selected.All patients were found abnormal by molybdenum X-ray and the lesion was observed and positioned by molybdenum X-ray before operation.The position pin was placed after positioning.During the operation，the section biopsy was performed and the pathological result was considered as the gold standard.If the result was benign lesion，then lesion resection was performed；if the result was malignant lesion，then modified radical mastectomy was performed.The degree of specific accuracy and sensitivity of molybdenum target X-ray preoperatively was analyzed.Results Of the 70 patients，10 patients （14.3%） were invasive breast carcinoma and 4 patients （5.7%） were ductal carcinoma.All patients were given one-time resection of the lesion，of which 14 patients were given radical surgery.The accuracy of preoperative positioning of lesions by molybdenum before operation was 97.1% in 70 patients.56 cases （80.0%） were tested as benign lesions and 14 cases （20.0%） were tested as malignant lesions according to the test results of molybdenum positioning，with the sensitivity of 92.9% and specificity of 98.2%.Conclusion Molybdenum X-r