摘要
目的探讨乳腺X射线摄影非立体定位在乳腺微钙化灶切除中的临床应用。方法选取2015年1月—2019年1月广东省中西医结合医院常规乳腺X射线摄影中发现有病灶的患者84例,按随机数字表法分为实验组和对照组,每组42例。手动定位所有患者的微钙化灶,分别画线,收集所有患者的乳腺X射线片,测量钩针与最近钙化点的距离进行统计学分析。结果实验组和对照组平均每位患者行乳腺X射线摄影分别为5.5次和6.12次,两组比较,差异有统计学意义(P<0.05)。实验组和对照组钩针与最近钙化点的距离分别为(6.13±0.59)和(6.79±0.58)mm,两组比较,差异有统计学意义(P<0.05)。两组定位中均无出血、定位导丝折断等并发症发生,定位过程顺利。实验组术中均一次性活检成功。结论乳腺X射线摄影手动定位乳腺微钙化灶简单、易行,精确度高,具有令人满意的定位效果。
Objective To explore the clinical application of molybdenum target non-stereoscopic guidewire guided excision in the removal of breast microcalcification foci and guiding surgical biopsy.Methods The patients with microcalcification of the breast were randomly divided into two groups according to the random number table.The two groups were manually positioned,and the lines were taken separately.All the specimens were taken for mammography,and the crochet and the nearest calcification point were measured.The distance is statistically analyzed.Results On average,each patient in the experimental group underwent mammography for 5.5 times.While in the control group,the mammography was 6.12 times per patient,which was statistically significant compared with the experimental group(P<0.05).The distance between the crochet and the nearest calcification point is(6.13±0.59)mm in the experimental group,and the distance between the crochet and the nearest calcification point was(6.79±0.58)mm in the control group,which mean statistically significant between two groups(P<0.05).No complications such as hemorrhage and localization of guide wire were found.The positioning process was smooth and one-time biopsy was successful during the operation.Conclusion The mammography Xray manual localization of mammary microcalcifi-cations is simple,easy,accurate,and has a satisfactory positioning effect.
作者
洪强
莫春生
李娟娟
梁丽春
孔之华
潘成熙
陈徐生
Qiang Hong;Chun-sheng Mo;Juan-juan Li;Li-chun Liang;Zhi-hua Kong;Cheng-xi Pan;Xu-sheng Chen(Department of Thoracic and Breast Surgery,Guangdong Hospital of Integrated Traditional Chinese and Western Medicine,Foshan,Guangdong 528200,China)
出处
《中国现代医学杂志》
CAS
北大核心
2021年第5期29-33,共5页
China Journal of Modern Medicine
基金
2018年度佛山市自筹经费类科技计划项目(No:0032828120703023)。
关键词
乳腺疾病
乳腺X射线摄影
定位
画线
活检
breast diseases
mammography
positioning
line drawing
biopsy
