乳腺钼靶X线立体定位穿刺活检和手术

A Clinical Study of the Fine-Needle Aspiration Cytological Diagnosis and Resection of Breast Lesions by Stereotaxic Method

1992年7月～1993年9月间,对56例乳腺疾病患者进行钼靶摄片,发现56例57处病灶,对其中54例55处病灶进行了立体定位细针穿刺细胞学检查。结果显示其敏感性为92.5％,特异性为100％,诊断符合率为96.3％。若将细胞学检查结果与钼靶摄片相结合,联合敏感性与特异性均可达100％。上述病灶中有12处为临床所不能扪及的隐匿性病灶,6处在立体定位引导下完成了切除术。

Since July 1992 to September 1993,57 breast lesions were identified by mam- mography in 56 patients. Fine-needle aspiration cytology was performed on 55 lesions by us- ing a stereotaxic localization technique (10/55 lesions were nonpalpable). Fine-needle aspira- tion cytology has a sensitivity of 92.5%, a specificity of 100%, and an accuracy of 96.3%, The diagnostic sensitivity and specificity of mammogram with stereotaxic fine-needle aspiration cytology test were 100% respectively. 6 nonpalpable breast lesions were excised by using stereotaxic localization technique.