CAJ | 학술논문

目的探讨钼靶及超声引导下细针定位活检术在临床触诊阴性的乳腺疾病中的临床应用价值.方法对148例临床触诊阴性仅钼靶或超声发现乳腺微小病灶的患者,通过钼靶或超声引导细针定位,放入定位导丝,外科手术切除活检.经组织病理检查明确诊断,统计分析病灶良恶性、病灶大小、完全切除率等.结果 148例临床触诊阴性病灶中,恶性病灶21例(14.2％),均为早期乳腺癌;良性病灶127例(85.8％).147例病灶一次切除成功,1例补切一次成功.结论乳腺钼靶及超声引导下定位活检技术在临床触诊阴性乳腺疾病诊治中具有重要意义,提高了无肿块乳腺癌的早期诊断,简便易行,便于推广.
목적 탐토목파급초성인도하세침정위활검술재림상촉진음성적유선질병중적림상응용개치.방법 대148례림상촉진음성부목파혹초성발현유선미소병조적환자,통과목파혹초성인도세침정위,방입정위도사,외과수술절제활검.경조직병리검사명학진단,통계분석병조량악성、병조대소、완전절제솔등.결과 148례림상촉진음성병조중,악성병조21례(14.2％),균위조기유선암;량성병조127례(85.8％).147례병조일차절제성공,1례보절일차성공.결론 유선목파급초성인도하정위활검기술재림상촉진음성유선질병진치중구유중요의의,제고료무종괴유선암적조기진단,간편역행,편우추엄.
Objective To study the clinical value of mammography and ultrasound needle localization biopsy technique in clinical nonpalpable breast disease.Methods 148 patients with negative clinical palpation were operated only because of the mammography or ultrasound findings of lesions.They were undergone localized excision biopsy and derived definite pathological diagnosis.By histopathology diagnosis,benign and malignant lesions,lesion size,complete resection rate were statistically analyzed.Results 21 cases in 148 cases were malignant lesions(14.2％),which were all early breast cancer.The other 127 cases were benign breast disease(85.8％).147 cases were successfully resected at the first time and 1 case was successfully resected at the second time.Conclusion Mammography and Ultrasound fine needle localized biopsy in nonpalpable breast disease diagnosis and treatment has great significance,which can raise early diagnosis rate of breast cancer without mass,and this method is simple and easy for promotion.