【摘要】 目的:探讨钼靶X线引导下钢丝定位手术切检技术在乳腺不可触及病变(NPBL)的应用技巧和临床价值。方法:对64例钼靶X线片上NPBL患者,利用二维定位装置在X线引导下穿刺留置带钩钢丝,在钢丝引导下手术切检。切除标本X线摄影后行术中快速病理组织学检查,根据病理结果决定进一步手术或结束手术。结果:64例患者定位准确,手术完整切除病变。病理结果为良性病变50例,乳腺癌14例,其中导管原位癌7例,行保乳术3例,行乳房全切+前哨淋巴结活检4例,浸润性导管癌6例,行保乳术2例,改良根治术4例,髓样癌1例,行改良根治术。结论:合理的钢丝定位及切检技巧可提高切除病变的准确性,对乳腺X线发现的BI-RADS 4类及5类NPBL进行钢丝定位手术切检能明确病变性质、提高早期乳腺癌检出率。更多还原

【Abstract】 Objective: To explore the mammography guided wire localization operation biopsy technique in non palpable breast lesions(NPBL) and the clinical value of the application of skills.Methods: 64 cases of molybdenum target X-ray on NPBL patients,using two-dimensional positioning device in X-ray guided percutaneous indwelling wire hook,surgical cutting biopsy in wire guide.With rapid histopathologic specimens were performed intraoperative radiographic examination,according to the pathological results of surgery or surgery decided to end.Results: 64 cases of patients with accurate positioning,complete resection of lesions.The pathological results of 50 cases of benign lesions,14 cases of breast cancer,including 7 cases of ductal carcinoma in situ,underwent breast conserving surgery for breast in 3 cases,total resection and sentinel lymph node biopsy in 4 cases,6 cases of infiltrating ductal carcinoma,breast conserving surgery in 2 cases,4 cases of modified radical mastectomy,1 cases of medullary carcinoma modified radical operation.Conclusion: Reasonable positioning and cutting wire inspection techniques can improve the accuracy of resection of the lesion,found the breast X-ray BI-RADS class 4 and 5 NPBL steel wire positioning operation biopsy can identify the nature of the lesion,improve the detection rate of early breast cancer.更多还原