摘要
目的 探讨应用乳腺常规和立体定位方法对临床隐匿性乳腺病变进行细针穿刺导丝定位活检术的应用价值。材料与方法 回顾 1997年 10月～ 2 0 0 0年 10月间对 39例临床未触及乳腺病变的患者采用细针定位活检术 ,其中常规定位法 2 7例 ,立体定位法 12例。结果 ( 1)病理结果 :39例中 ,发现早期乳腺癌 7例 (导管原位癌 2例 ) ,乳腺小叶增生 9例 ( 2例伴有非典型性增生 ) ,硬化性腺病 6例 ( 5例伴有上皮增生活跃 ) ,纤维腺瘤 12例 ,乳头状瘤 3例 ,浆细胞性乳腺炎 2例。 ( 2 )两种定位方法满意率比较 :立体定位 12例 ,全部一次定位成功 ,满意率为 10 0 % ;常规定位 2 5例一次定位成功 ,满意率为 93 %。两组数据经 χ2 检验 (P >0 .0 5 )。 ( 3)两种定位方法所用时间 :立体定位平均每人次为 41.6分钟 ;常规定位为 2 6 .2分钟。常规比立体定位节省时间平均每人次 15 .4分钟。结论 对临床不可触及、X线检查确有明显异常的乳腺病变 ,应积极采用细针定位后外科活检。常规定位法是一种简便、快捷和较准确的定位方法 。
Objective To evaluate fine needle biopsy using routine and stereotaxic localization method in the diagnosis of non palpable breast lesion.Materials and Methods During Oct. 1997 to Oct. 2000, 39 fine needle localization biopsies were performed. Routine localization method was used in 27 cases, while stereotaxic technique in 12. A retrospective analysis was made.Results (1) Pathologic results. Of total 39 cases, 7 were early cancer (including 2 duct carcinoma in situ), 9 mammary lobule hyperplasia (including 2 atypical hyperplasia), 6 sclerosing adenosis (including 5 active epithelial proliferation), 12 fibroadenoma, 3 papilloma and 2 plasma cell mastitis. (2) The satisfaction rate of localization was 93% in routine localization method and 100% in stereotaxic technique (P>0.05). (3) The time every procedure took was 41.6 minutes for stereotaxic technique and 26.2 minutes for routine method.Conclusion Non palpable breast lesion with radiologically suspicious manifestations should be biopsied with the help of fine needle localization. The routine localization method is a simple, quick and accurate technique, and should be considered as the first choice in needle localization biopsy.
出处
《临床放射学杂志》
CSCD
北大核心
2001年第11期847-849,共3页
Journal of Clinical Radiology
