| 鲁伦博,张承中,卓瑶瑶,李婷,谢叻,孔德兴,李康安.MRI导引下真空辅助乳腺病灶旋切活检技术的临床应用[J].中国医学影像技术,2017,33(5):657~661 |
| MRI导引下真空辅助乳腺病灶旋切活检技术的临床应用 |
| Application of MRI-guided vacuum-assisted breast biopsy: Initial clinical experience |
| 投稿时间：2016-10-29 修订日期：2017-04-09 |
| DOI：10.13929/j.1003-3289.201610139 |
| 中文关键词: 乳腺疾病 磁共振成像 真空辅助 活组织检查,针吸 |
| 英文关键词:Breast diseases Magnetic resonance imaging Vacuum-assisted Biopsy, needle |
| 基金项目: |
|
| 摘要点击次数: 1768 |
| 全文下载次数: 1149 |
| 中文摘要: |
| 目的 探讨MRI导引下真空辅助旋切乳腺病灶活检技术的可行性。方法 对45例患者共45个乳腺可疑病灶行MRI导引下真空辅助旋切活检。观察其技术成功率和术后并发症情况，并进行随访。结果 在45个乳腺可疑病灶中，经MRI导引下真空辅助旋切活检43个（43/45，95.56%）病灶成功取样并获取病理学诊断，2个（2/45，4.44%）病灶未获取病理学诊断。穿刺操作用时（45.87±8.41）min。5个（5/45，11.11%）活检病理为恶性的病灶，均与术后病理结果相符；38个（38/45，84.44%）活检病理为良性的病灶，6个月后MRI随访均未见恶性表现。根据活检病理结果指导14例（14/45，31.11%）患者调整了治疗方案，其中5例（5/45，11.11%）恶性肿瘤患者得以早期确诊，9例（9/45，20.00%）疑似恶性的良性肿瘤患者避免了外科手术。45例患者活检术后均无感染及血肿等并发症发生。结论 MRI导引下真空辅助旋切乳腺病灶活检安全、有效地完成乳腺可疑病灶取样，对乳腺可疑病灶患者的临床治疗方案具有指导作用。 |
| 英文摘要: |
| Objective To evaluate the feasibility of MRI-guided vacuum-assisted breast biopsy in domestic clinical practice. Methods A total of 45 patients with 45 suspicious breast lesions were examined with MRI-guided vacuum-assisted biopsy. The complications were observed. And the followed-up was performed. Results In 45 suspected breast lesions, 43 lesions (43/45, 95.56%) were successfully sampled under MRI-guided vacuum-assisted biopsy and the pathologic diagnosis was obtained. For another 2 lesions (2/45, 4.44%), the pathology diagnosis were not obtained. The time to perform MRI-guided biopsy was (45.87±8.41)min for one lesion. The 5 malignant lesions (5/45, 11.11%) confirmed by biopsy pathology were consistent with postoperative pathological results. For the 38 benign lesions (38/45, 84.44%) confirmed by biopsy pathology, there was no malignant performance found in MRI follow-up for 6 months. Because of successful MR imaging-guided core biopsy findings, the clinic treatments were changed in 14 patients (14/45, 31.11%). Five cases (5/45, 11.11%) with malignant tumors were diagnosed early. The surgical biopsy was avoided in 9 benign cases (9/45, 20.00%) who suspected as malignant. In all 45 patients, no complications occurred, such as hematoma and infection. Conclusion MRI-Guided vacuum-assisted breast biopsy is sufficient and safe for obtaining histologic proof of lesions, and plays an important role in guiding clinic treatment of some lesions visible only by MRI. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
|
|
|
