CAJ | 학술논문

目的：探讨钼靶 X 线引导下导丝定位用于切除乳腺亚临床病灶的应用效果。方法收集2011年1月至2013年1月滨州医学院附属医院收治的经临床检查未触及明显乳腺肿块但钼靶摄片表现异常的患者80例，应用钼靶 X 线引导下导丝定位实施切除手术，术后行病理学检查。结果本研究80例患者的病灶均定位准确，病变组织均完全切除，总成功率为100%。其中乳腺癌9例，乳腺纤维瘤4例，乳腺炎症2例，乳腺不典型增生5例，导管内乳头状瘤2例，乳腺增生合并钙化58例，脂肪坏死3例。结论采用钼靶 X 线引导下导丝定位可准确定位乳腺亚临床病灶，有利于早期准确诊断不可触及的乳腺病变，提高临床手术切除效果，值得推广应用。
목적：탐토목파 X 선인도하도사정위용우절제유선아림상병조적응용효과。방법수집2011년1월지2013년1월빈주의학원부속의원수치적경림상검사미촉급명현유선종괴단목파섭편표현이상적환자80례，응용목파 X 선인도하도사정위실시절제수술，술후행병이학검사。결과본연구80례환자적병조균정위준학，병변조직균완전절제，총성공솔위100%。기중유선암9례，유선섬유류4례，유선염증2례，유선불전형증생5례，도관내유두상류2례，유선증생합병개화58례，지방배사3례。결론채용목파 X 선인도하도사정위가준학정위유선아림상병조，유리우조기준학진단불가촉급적유선병변，제고림상수술절제효과，치득추엄응용。
Objective To investigate the application effect of guidewire location under molybde-num X-ray on resection of non-palpable breast lesions. Methods Eighty cases of abnomal mammography but unpalpable breast lumps between January 2011 and January 2013 in affiliated hospital of Binzhou medical college were collected,and the patients all received guidewire location under molybdenum X-ray and the lesions were all sent for postoperative pathological examination. Results Eighty lesions were de-fined as accurate and were completely resected,the overall success rate was 100. 0% . There were 9 ca-ses of breast cancer,4 cases of breast fibroma,2 cases of breast inflammation,5 cases of breast atypical hyperplasia,2 cases of intraductal papilloma,58 cases of breast hyperplasia with calcification,3 cases of fat necrosis. Conclusions The mammography X-ray-guided guidewire positioning can accurately locate breast subclinical lesions,and is conducive to early and accurate diagnosis of nonpalpable breast lesions, it can improve the clinical effect of surgical resection,so it should be widely appilicated.