| 张亦磊 郑明华 梁明 肖栋 陈亮 翟超 王健生.高频超声引导下乳腺钙化微创切除活检的临床价值分析[J].,2015,15(17):3273-3275 |
| 高频超声引导下乳腺钙化微创切除活检的临床价值分析 |
| Clinical Value Analysis of Minimally Invasive Excision and Biopsy of BreastCalcification Under High Frequency Ultrasound Guidance |
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| DOI： |
| 中文关键词: 高频超声 乳腺 钙化 微创切除 |
| 英文关键词: High frequency Breast Calcification Minimally invasive excision |
| 基金项目: |
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| 中文摘要: |
| 目的：评价高频超声引导下乳腺钙化微创切除活检术的临床应用价值。方法：选取我院2012 年9 月至2014 年9 月收治的
66例乳腺钙化患者，患者均行高频超声引导下的微创切除活检；分析乳腺钙化取出的活检成功率、病理结果及钙化灶微创活检的
临床影响因素。结果：乳腺钙化灶的活检成功率为72.9%(51/70)，弥散性钙化46 侧、成功率为65.2%（30/46)，钙化伴肿块24侧、成
功率为87.5%(21/24)；钙化范围≤ 5 mm钙化取出活检成功率为55.9%，而钙化范围>5 mm 为88.9%；经X2检验单因素分析，钙化
取出活检成功率与钙化类型和钙化范围有关（P<0.05）；Logistic 多因数回归分析发现钙化灶的类型和范围是影响钙化灶微创活检
的主要因素（P<0.05）。结论：高频超声引导下乳腺钙化微创切除活检成功率与钙化类型和钙化范围有关，其中钙化范围>5 mm 成
功率最高，有较好的临床价值。 |
| 英文摘要: |
| Objective:To evaluate clinical value analysis of minimally invasive excision and biopsy of breast calcification under
high frequency ultrasound guidance.Methods:66 cases of patients with breast calcification who treated in our hospital from 2012
September to September 2014 were selected, all patients underwent minimally invasive excision and biopsy using under high frequency
ultrasound guidance; Removed biopsy success rate of breast calcification, pathological results and clinical factors of calcification of
minimally invasive biopsy were analyzed.Results:The success biopsy rate of breast calcification was 72.9% (51/70), the success rate of
diffuse calcification in 46 side, was 65.2%(30/46), the success rate of calcification with mass in 24 side, was 87.5% (21/24); Remove
biopsy success rate of calcification range of ≤ 5 mm was 55.9%, and >5 mm was 88.9%; The single factor analysis showed remove
biopsy success rate of was related to the type and rang of calcification (P<0.05); Logistic multi factor regression analysis found that type
and rang of calcification was a main factor affecting the calcification of minimally invasive biopsy (P<0.05).Conclusion:The success rate
of minimally invasive biopsy of breast calcification under high frequency ultrasound guided is related to type and rang of calcification,
and calcification range of >5 mmwith the highest success rate, it has good clinical value. |
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