中华外科杂志
中華外科雜誌
중화외과잡지
CHINESE JOURNAL OF SURGERY
2011年
10期
918-922
,共5页
连臻强%张安秦%王颀%朱彩霞%李文萍%许娟%郜红艺%潘云祥%吴玲
連臻彊%張安秦%王頎%硃綵霞%李文萍%許娟%郜紅藝%潘雲祥%吳玲
련진강%장안진%왕기%주채하%리문평%허연%고홍예%반운상%오령
乳房%活组织检查%钙质沉着症%超声检查,乳房
乳房%活組織檢查%鈣質沉著癥%超聲檢查,乳房
유방%활조직검사%개질침착증%초성검사,유방
Breast%Biopsy%Clacinosis%Ultrasonography,mammary
目的 探讨高频超声引导下乳腺钙化微创切除活检的临床应用价值.方法 2009年7月至2010年10月对66例乳腺钙化进行高频超声引导下的微创切除活检.全组病例均为女性,年龄24～61岁,中位年龄40岁.单侧乳腺钙化62例,双侧乳腺钙化4例,共70侧乳腺钙化病灶.评价钙化取出的活检成功率,采用x2检验的单因素分析和Logistic多因素回归分析,研究影响钙化微创活检的临床因素.结果 全组70侧乳腺钙化的活检成功率为72.9％ (51/70).弥散性钙化的活检成功率为65.2％( 30/46),钙化伴肿块的活检成功率为87.5％ (21/34),两者差异有统计学意义(x2=3.960,P=0.047).钙化范围＞5mm的病例活检成功率为88.9％(32/36);钙化范围≤5 mm的病例的活检成功率为55.9％ (19/34),两者差异有统计学意义(x2=9.633,P=0.002).Logistic多因素回归分析结果显示,钙化的类型和钙化的范围是影响微创活检成功率的主要因素.结论 高频超声引导下乳腺钙化微创切除活检有较好的临床应用价值,对于钙化伴肿块和钙化范围＞5 mm的病例活检的成功率更高.
目的 探討高頻超聲引導下乳腺鈣化微創切除活檢的臨床應用價值.方法 2009年7月至2010年10月對66例乳腺鈣化進行高頻超聲引導下的微創切除活檢.全組病例均為女性,年齡24～61歲,中位年齡40歲.單側乳腺鈣化62例,雙側乳腺鈣化4例,共70側乳腺鈣化病竈.評價鈣化取齣的活檢成功率,採用x2檢驗的單因素分析和Logistic多因素迴歸分析,研究影響鈣化微創活檢的臨床因素.結果 全組70側乳腺鈣化的活檢成功率為72.9％ (51/70).瀰散性鈣化的活檢成功率為65.2％( 30/46),鈣化伴腫塊的活檢成功率為87.5％ (21/34),兩者差異有統計學意義(x2=3.960,P=0.047).鈣化範圍＞5mm的病例活檢成功率為88.9％(32/36);鈣化範圍≤5 mm的病例的活檢成功率為55.9％ (19/34),兩者差異有統計學意義(x2=9.633,P=0.002).Logistic多因素迴歸分析結果顯示,鈣化的類型和鈣化的範圍是影響微創活檢成功率的主要因素.結論 高頻超聲引導下乳腺鈣化微創切除活檢有較好的臨床應用價值,對于鈣化伴腫塊和鈣化範圍＞5 mm的病例活檢的成功率更高.
목적 탐토고빈초성인도하유선개화미창절제활검적림상응용개치.방법 2009년7월지2010년10월대66례유선개화진행고빈초성인도하적미창절제활검.전조병례균위녀성,년령24～61세,중위년령40세.단측유선개화62례,쌍측유선개화4례,공70측유선개화병조.평개개화취출적활검성공솔,채용x2검험적단인소분석화Logistic다인소회귀분석,연구영향개화미창활검적림상인소.결과 전조70측유선개화적활검성공솔위72.9％ (51/70).미산성개화적활검성공솔위65.2％( 30/46),개화반종괴적활검성공솔위87.5％ (21/34),량자차이유통계학의의(x2=3.960,P=0.047).개화범위＞5mm적병례활검성공솔위88.9％(32/36);개화범위≤5 mm적병례적활검성공솔위55.9％ (19/34),량자차이유통계학의의(x2=9.633,P=0.002).Logistic다인소회귀분석결과현시,개화적류형화개화적범위시영향미창활검성공솔적주요인소.결론 고빈초성인도하유선개화미창절제활검유교호적림상응용개치,대우개화반종괴화개화범위＞5 mm적병례활검적성공솔경고.
Objective To evaluate the clinical application of high-frequency ultrasound-guided vacuum-assisted biopsy for breast microcalcifications. Methods Sixty-six patients with 70 lesions of microcalcifications detected at mammography underwent high-frequency ultrasound-guided vacuum-assisted biopsy from July 2009 to October 2010. All patients were female,aged 24 to 61 years ( median age 40 years).Among 70 lesions of microcalcifications,unilateral lesions were 62 cases and bilateral lesions were 4 cases.The clinical factors that affected the success of biopsy were investigated by x2 test and Logistic regression analysis.Results Among 70 lesions of microcalcifications,the successful rate of biopsy was 72.9％ (51/70).The biopsy successful rate of microcalcifications without and with masses were 65.2％ (30/46) and 87.5％ (21/34) respectively (x2 =3.960,P =0.047).The biopsy successful rate of microcalcifications of maximal diameter more than 5 mm was higher than that of maximal diameter less than 5 mm (88.9％ vs.55.9％,x2 =9.633,P=0.002).The Logistic regression analysis showed that the types and maximal diameter of microcalcifications were the main factors that affected the success of biopsy.Conclusion The clinical application of high-frequency ultrasound-guided vacuum-assisted biopsy was an effective option for the diagnosis of breast microcalcifications,especially for the type of microcalcifications with masses and the maximal diameter more than 5 mm.
