CAJ | 학술논문

目的：探讨侧卧位术前X线导丝定位技术对乳腺微钙化病灶的应用价值。方法：选取120例乳腺微钙化病灶，随机分为侧卧式研究组及坐式对比组进行术前导丝立体定位，留置导丝引导外科手术进行切取活检。结果：两种不同定位方式中，针尖与病灶的距离、定位中不良反应及定位成功率方面有显著差异性（P＜0．01）；在切检成功率方面两者无显著差异性（P＞0．05）。结论：侧卧式X线立体定位导丝引导下切取活检是提高乳腺微钙化病灶诊断率的有效方法。
목적：탐토측와위술전X선도사정위기술대유선미개화병조적응용개치。방법：선취120례유선미개화병조，수궤분위측와식연구조급좌식대비조진행술전도사입체정위，류치도사인도외과수술진행절취활검。결과：량충불동정위방식중，침첨여병조적거리、정위중불량반응급정위성공솔방면유현저차이성（P＜0．01）；재절검성공솔방면량자무현저차이성（P＞0．05）。결론：측와식X선입체정위도사인도하절취활검시제고유선미개화병조진단솔적유효방법。
Objective:To investigate the value of lateral decubitus position of patient in preoperative stereotactic guided wire-loclized breast biopsy for lesions with microcalciifications.Methods:120 patients with breast lesions with micro-calcifications were randomly divided in two groups;group A:patients in lataral decubitus position (60 cases),and group B:patients in sitting position (60 cases).Preoperative stereotactic guided wire-localized breast biopsy was performed in every case with the same procedures.Results:In comparing the two groups of positioning of patients,there was significant statis-tical difference between the two groups in the distance between the wire tip and the lesion center,in the adverse reaction and success rate of localization (P<0.01).There was no significant statistical difference in the success rate of surgical incisional biopsy between the two groups (P>0.05).Conclusion:Application of lateral decubitus position of patients in stereotactic guided wire-localized incisional biopsy is an effective method in breast lesions with microcalcifications.