论文部分内容阅读
目的探讨数字化三维立体定位活检在触诊阴性乳腺病变中的诊断价值。方法分析2014年10月-2015年10月在江苏省中医院就诊的40例触诊阴性乳腺病变患者的临床资料及影像学表现。所有病灶的均按照BI-RADS评分体系进行分类界定,再对病灶进行立体定位穿刺,并与手术活检病理对照。结果共有40例患者,48个病灶进行三维立体定位活检,定位时发生迷走神经反应的1例,所有病灶均一次定位、切除成功,无术后并发症。病理证实恶性病变10个(20.83%),癌前病变7个(14.58%),其他良性病变31个(64.58%)。结论三维立体定位活检对触诊阴性乳腺病变定位准确,操作安全简便,为临床微创手术提供准确的指导,是诊断触诊阴性乳腺病变的有效方法。
Objective To investigate the diagnostic value of digital three-dimensional positioning biopsy in palpation-negative breast lesions. Methods The clinical data and imaging findings of 40 cases of palpation-negative breast lesions in Jiangsu Provincial Hospital of TCM from October 2014 to October 2015 were analyzed. All the lesions were classified according to the BI-RADS scoring system, and the lesions were stereotacticly punctured and compared with the biopsy pathology. Results A total of 40 patients and 48 lesions were examined by three-dimensional stereotactic biopsy. One patient had vagal reaction when located. All the lesions were located at one time. The resection was successful and no postoperative complications occurred. The pathology confirmed 10 malignant lesions (20.83%), precancerous lesions 7 (14.58%), and other benign lesions 31 (64.58%). Conclusions 3D stereotactic biopsy can accurately locate palpation-negative breast lesions and is safe and easy to operate, providing accurate guidance for clinical minimally invasive surgery. It is an effective method to diagnose palpation-negative breast lesions.