Department of Ultrasound, The Second Affiliated Hospital (Jiande Branch), Medical School of Zhejiang University, The First People's Hospital of Jiande, Hangzhou, China.
Int Wound J. 2019 Dec;16(6):1506-1512. doi: 10.1111/iwj.13224. Epub 2019 Sep 18.
Breast cancer is a serious disease in women. We estimated the global technical success rate and complication rates of percutaneous vacuum-assisted breast biopsy (VABB). PubMed, Embase, Web of Science, and Scopus databases were retrieved up to July 2018 to find studies in which technical success rate and complication rates of VABB were available. Pooled rates were calculated according to location mode (ultrasonography [US] or mammography) and needle type (8- or 11-gauge Mammotome probes). Of the 36 articles with 20 868 cases, we found the pooled technical success rate 0.9999(0.9997, 1.0000) (I = 17.1%, P = .187) and low complication risks including haematoma 0.1092(0.0748, 0.1437) (I = 98.3%, P < .001), pain 0.0738(0.0334, 0.1141) (I = 95.9%, P < .001), vasovagal reflex 0.0281(0.0035, 0.0527) (I = 92.5%, P < .001), and infection 0.0027(-0.0019, 0.0073) (I = 49.8%, P = .113). In this systematic review and meta-analysis, the pooled data suggested that VABB with US or mammography could be promising for diagnosis and treatment of breast disease. Further studies were necessary to identify strategies for these findings.
乳腺癌是女性的一种严重疾病。我们评估了经皮真空辅助乳腺活检（VABB）的全球技术成功率和并发症发生率。检索了 PubMed、Embase、Web of Science 和 Scopus 数据库，以找到提供 VABB 技术成功率和并发症发生率的研究。根据定位方式（超声 [US] 或乳房 X 线摄影）和针类型（8 或 11 号 Mammotome 探头）计算汇总率。在 36 篇包含 20868 例的文章中，我们发现汇总的技术成功率为 0.9999（0.9997，1.0000）（I = 17.1%，P = 0.187），且并发症风险较低，包括血肿 0.1092（0.0748，0.1437）（I = 98.3%，P < 0.001），疼痛 0.0738（0.0334，0.1141）（I = 95.9%，P < 0.001），血管迷走反射 0.0281（0.0035，0.0527）（I = 92.5%，P < 0.001）和感染 0.0027（-0.0019，0.0073）（I = 49.8%，P = 0.113）。在这项系统评价和荟萃分析中，汇总数据表明，US 或乳房 X 线摄影引导的 VABB 可能是诊断和治疗乳腺疾病的有前途的方法。需要进一步的研究来确定这些发现的策略。
