Li Dechun, Xu Jingjing, Zhang Jie, Xia Dandan, Shao Guoqing
Department of Radiology, The Affiliated Xuzhou Center Hospital of Nanjing University of Chinese Medicine, Xuzhou, Jiangsu 221009, P.R. China.
Oncol Lett. 2017 Jun;13(6):4013-4016. doi: 10.3892/ol.2017.6014. Epub 2017 Apr 10.
The aim of the present study was to compare the application value of the 3D stereo wire localization technique guided by a full digital breast X-ray machine, and general location technique in the resection of breast non-palpable lesions. A retrospective analysis of the clinical data of 80 patients with abnormal findings for non-palpable breast molybdenum target X-ray was conducted between June, 2011 and July, 2014. The patients were divided into two groups: 40 cases with a general location of lesions identified by perturbation axial + standard lateral radiograph to guide the clinical operation biopsy (group A); and 40 cases with a general location of lesions identified by the 3D stereo wire localization method to guide the clinical operation biopsy (group B). The one-time success rate of the resection of breast lesions of the two groups of patients was compared. Both groups of patients completed the operation. Of the 40 cases in group A, 33 cases had one-time complete resection of lesions, 5 cases had incomplete resection with the second resection, and the lesions of 2 cases were not excised and the one-time success rate of the breast lesion resection was 82.5%. Of the 40 cases in group B, lesions of 38 cases were one-time complete resection and 2 had vagal reaction; thus, the one-time success rate of breast lesion resection being 95%. Compared to group A, the one-time success rate of breast lesion resection of group B was statistically and significantly higher (χ=3.638, P<0.05). In conclusion, the 3D stereo wire localization technique guided by the full digital breast X-ray machine for the excision of non-palpable breast lesions has high positioning accuracy with small operation excision scope. It is therefore an effective method that can be utilized for the qualitative diagnosis of non-palpable breast lesions.
本研究旨在比较全数字化乳腺X线机引导下的三维立体导丝定位技术与常规定位技术在乳腺不可触及病灶切除术中的应用价值。回顾性分析2011年6月至2014年7月间80例乳腺钼靶X线检查有异常发现的不可触及乳腺病灶患者的临床资料。将患者分为两组：40例采用摄动轴位+标准侧位片确定病灶常规位置以指导临床手术活检（A组）；40例采用三维立体导丝定位法确定病灶常规位置以指导临床手术活检（B组）。比较两组患者乳腺病灶切除的一次性成功率。两组患者均完成手术。A组40例中，33例病灶一次性完整切除，5例二次切除后仍有残留，2例病灶未切除，乳腺病灶切除一次性成功率为82.5%。B组40例中，38例病灶一次性完整切除,2例出现迷走反应，乳腺病灶切除一次性成功率为95%。与A组比较，B组乳腺病灶切除一次性成功率差异有统计学意义（χ=3.638，P<0.05）。结论：全数字化乳腺X线机引导下的三维立体导丝定位技术切除乳腺不可触及病灶定位准确性高，手术切除范围小，是乳腺不可触及病灶定性诊断的有效方法。
