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目的:探讨X线立体定位引导真空负压旋切活检乳腺微小钙化灶手术难点及其解决方法。方法:回顾2007年10月~2012年5月深圳市妇幼保健院对223例钼靶下BIRADS IV级体检阴性的乳腺微小钙化灶在X线立体定位下的手术活检资料。结果:手术总例数223例,其中摄片量增加36例,占16.14%;摄片量减少122例,占54.70%;活动性出血24例,占10.71%;吸引负压减小16例,占7.17%;穿刺移位23例,占10.31%。确诊乳腺癌28例,组织学低估2例,病理低估率0.89%。未出现感染病例。结论:熟练掌握手术难点和处理策略对提高手术效率,减少手术并发症和X线照射剂量有重要意义。
Objective: To investigate the difficulties and solutions to the operation of X-ray stereotactic guidance of vacuum negative rotation biopsy of breast microcalcification. Methods: The biopsy data of 223 cases of breast microcalcifications with negative BIRADS grade IV under mammography from October 2007 to May 2012 in Shenzhen Maternal and Child Health Hospital were retrospectively reviewed. Results: The total number of operations was 223 cases, of which 36 cases were filming (16.14%), 122 cases (54.70%) were filming, 24 cases were active bleeding (10.71%), 16 cases were negative suction, Accounting for 7.17%; puncture displacement in 23 cases, accounting for 10.31%. 28 cases of diagnosed breast cancer, histological underestimation in 2 cases, pathological underestimation rate of 0.89%. No cases of infection occurred. Conclusion: Proficiency in surgical difficulties and treatment strategies to improve the efficiency of surgery, reduce surgical complications and X-ray doses of great significance.