中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2011年
2期
92-94
,共3页
乳腺肿瘤%钼靶%导丝定位%乳腺亚临床病灶
乳腺腫瘤%鉬靶%導絲定位%乳腺亞臨床病竈
유선종류%목파%도사정위%유선아림상병조
Breast neoplasms%Mammography%Application of guide wire location%Subclinical breast lesion
目的 探讨钼靶X线引导下导丝定位技术在乳腺亚临床病灶切除中的临床应用价值.方法 对79例临床未触及明确乳腺肿块而在钼靶片有异常表现患者共82个病灶(3例双侧)行钼钯引导下导丝定位,引导手术切除,行病理学检查.结果 82例病灶均定位准确,其中乳腺癌9例,乳腺不典型增生5例,导管内乳头状瘤2例,乳腺纤维瘤4例,乳腺增生伴钙化58例,脂肪坏死钙化3例,乳腺炎症1例.结论 钼靶X线引导下导丝定位技术在乳腺亚临床病灶切除中定位准确,有助于不可触及乳腺病变的早期诊断,具有重要临床应用价值.
目的 探討鉬靶X線引導下導絲定位技術在乳腺亞臨床病竈切除中的臨床應用價值.方法 對79例臨床未觸及明確乳腺腫塊而在鉬靶片有異常錶現患者共82箇病竈(3例雙側)行鉬鈀引導下導絲定位,引導手術切除,行病理學檢查.結果 82例病竈均定位準確,其中乳腺癌9例,乳腺不典型增生5例,導管內乳頭狀瘤2例,乳腺纖維瘤4例,乳腺增生伴鈣化58例,脂肪壞死鈣化3例,乳腺炎癥1例.結論 鉬靶X線引導下導絲定位技術在乳腺亞臨床病竈切除中定位準確,有助于不可觸及乳腺病變的早期診斷,具有重要臨床應用價值.
목적 탐토목파X선인도하도사정위기술재유선아림상병조절제중적림상응용개치.방법 대79례림상미촉급명학유선종괴이재목파편유이상표현환자공82개병조(3례쌍측)행목파인도하도사정위,인도수술절제,행병이학검사.결과 82례병조균정위준학,기중유선암9례,유선불전형증생5례,도관내유두상류2례,유선섬유류4례,유선증생반개화58례,지방배사개화3례,유선염증1례.결론 목파X선인도하도사정위기술재유선아림상병조절제중정위준학,유조우불가촉급유선병변적조기진단,구유중요림상응용개치.
Objective To investigate the value of guide wire location under mammography for a resection of subclinical breast lesions. Methods A total of 79 patients presenting with abnormal mammography but unpalpable lesions received a guide wire pre-operative location under mammography. And 82 lesions were successfully located and resected for pathological examination. Results All 82 lesions were located with a high accuracy. The pathological examination revealed breast fibroma (n = 4), mammary gland hyperplasia with calcification ( n = 58 ), intraductal papiloma ( n = 2), fat necrosis with calcification ( n =3), mammary atypical hyperplasia ( n = 5 ), breast inflammation ( n = 1 ) and breast cancer ( n = 9).Conclusion The technique of guide wire location under mammography is highly accurate for pre-operative location of subclinical breast lesions. It is valuable for an early diagnosis of unpalpable breast lesions.
