钼靶X线导丝定位术在隐匿性乳腺病灶诊治中的应用

Mammographic wire-localization＇s application in biopsy of delitescence focus of infection about breast disease

目的探讨钼靶X线导丝定位手术活检技术在隐匿性乳腺病灶诊断中的价值。方法利用专用计算机立体定位系统，对47个临床不能触及的乳腺隐匿性病灶行钼靶X线导丝定位术，在导丝引导下手术切除病灶并对切除组织进行钼靶摄影，确定病灶被完全切除后送病理检验。结果45例患者，计有隐匿性病灶47个，留置导丝47根，导丝引导下手术活检均一次性成功，且病灶被完整切除，诊断正确率为100％。病理结果：乳腺癌13例14个病灶，其中1例为双侧乳腺癌；良性病变32例33个病灶。结论钼靶X线导丝定位手术活检技术简便易行、定位准确，能确定乳腺隐匿性病灶的性质，可提高早期乳腺癌的诊断率。

Objective Approach mammographic wire-localization biopsy technology＇s value in diagnose of delitescence focus of infection about breast disease. Methods Utilizing specific purpose computer stereotaxis system, utilize mammographic wire-localization for 47 pieces delitescence focus of infection about breast disease which can＇t be touched in clinical,at guide wire＇s leading exsect focus of infection and make molybdenum target for tissue by excisional,then make patho-test when the focus of infection were completely resection. Results 45 patients have 47 pieces delitescence focus of infection, detaining 47 guide wire, all operations succeed only by once, and the focus of infection are completely resectlon,the correct rate of diagnose is 100 %. The result of patho： 13 cases are breast cancer and that have 14 pieces focus of infection, one of them is both sides, benign lesion are 32 cases and 33 pieces focus of infection. Conclusion The biopsy by mammographic wire-localization is convenient and accurate,can make sure the character of delitescence focus of infection about breast disease, which can raise the rate of diagnosis in earlier period breast cancer.