钼靶引导钩针定位乳腺微钙化灶切除活检的临床价值

目的探讨数字钼靶三维引导下钩针定位乳腺微钙化灶切除活检的价值。方法收集杭州市第一人民医院2011年4月-2013年4月采用数字钼靶三维引导下钩针定位切除活检的94例微钙化病例进行分析。结果患者均为女性，钼靶提示存在单侧微钙化灶不伴肿块影及结构紊乱，平均年龄42．8岁，左侧45例，右侧49例。发现非典型增生3例，乳腺癌11例（11．7％），导管原位癌5例，浸润性导管癌6例，其中0281A3例，ⅡA2例，ⅡB1例。术后2例腔内感染病例，无活动性出血病例。结论通过钼靶三维引导下钩针定位乳腺微钙化灶切除活检可以发现早期乳腺癌，操作安全。从而能够早期诊断、早期治疗，改善患者预后。

Clinical value of surgical biopsy with wire location guided by mammographic screening in mammary microcalcification

Abstract：Objective To explore the clinical value of surgical biopsy with wire location induced by three-dimensional mammographic screening in mammary microealcification. Methods From April 2011 to April 2013,94 cases with micro- calcification diagnosed with surgical biopsy with wire location induced by three-dimensional mammographic screening were analyzed. Results 3 cases of nonstyle hyperplasia, 11 cases of breast carcinoma which consist of 5 cases of ductal carci- noma in situ carcinoma,6 cases of invasive breast cancer were found. The others were all fine focus. Conclusion Early breast cancer can be found with surgical biopsy with wire location guided by mammographic screening in mammary micro- calcification. The procedure was safe.