MRI导引下真空辅助乳腺病灶旋切活检技术的临床应用

发布时间：2018-05-31 18:32

本文选题：乳腺疾病 + 磁共振成像　；参考：《中国医学影像技术》2017年05期

【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。
[Abstract]:Objective to investigate the feasibility of vacuum assisted biopsy of breast lesions guided by MRI. Methods 45 patients with suspected breast lesions underwent vacuum assisted biopsy guided by MRI. The technical success rate and postoperative complications were observed and followed up. Results among the 45 suspected breast lesions, 43 lesions were successfully sampled and pathological diagnosis was obtained by MRI guided vacuum assisted biopsy (43 / 43 / 45 ~ 95.56), and 2 / 42 / 45 ~ 4.44) lesions were not diagnosed by pathology. The biopsy time was 45.87 卤8.41)min.5 / 45 / 11.11) the pathology of biopsy was malignant, which was consistent with the postoperative pathological results, and 38 cases (38 / 45 ~ 84.44) were benign lesions, and no malignant findings were found in the follow-up of MRI 6 months later. According to the pathological results of biopsy, 14 patients were guided to adjust the treatment plan. Among them, 5 cases (5 / 45 / 11.11) of malignant tumors were diagnosed early, 9 cases (9 / 45%) were suspected of malignant benign tumors, and none of the 45 cases had complications such as infection and hematoma after operation. Conclusion vacuum assisted biopsy of breast lesions guided by MRI is safe and effective in the sampling of suspected breast lesions, which can guide the clinical treatment of patients with suspected breast lesions.
【作者单位】：上海交通大学附属第一人民医院放射科;上海交通大学国家数字化制造技术中心;浙江大学数学科学学院;
【分类号】：R445.2;R737.9

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