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目的探讨乳腺癌保乳术后局部复发的监测方法。方法对我院2003年9月至2004年8月间37例乳腺癌保乳术患者有计划地进行定期跟踪随访。主要监测方法是体检、B超、钼靶及MRI。结果37例中共有5例复发,主要在术后1.5~2年,MRI监测发现非复发的可疑病变仅2例,假阳性率低。结论合理的监测方法能早期发现保乳术后的局部复发,Mammotome旋切活检对保乳术后的监测是个有益的补充。
Objective To investigate the monitoring method of local recurrence after breast-conserving surgery. Methods From March 2003 to August 2004 in our hospital, 37 cases of breast conserving surgery were scheduled for regular follow-up. The main monitoring methods are physical examination, B-, mammography and MRI. Results A total of 5 cases of recurrence occurred in 37 cases, mainly in 1.5 to 2 years after operation. Only 2 cases of suspected non-recurrence were detected by MRI, and the false positive rate was low. Conclusion The reasonable monitoring method can detect the local recurrence after the conservative operation in the early stage, and the Mammotome biopsy is a useful supplement to the monitoring after the conservative operation.