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乳腺病变体表定位板的研制及临床应用
邓双南,王文艳,李青国
0
(重庆市两江新区第一人民医院;淮安市妇幼保健院)
摘要:
【摘要】目的 研制一种能应用于临床的乳腺病变体表定位装置,为手术切除病灶提供方便。方法 选取均具备临床触诊阴性、乳腺钼靶摄片BIRADS分级为4A及以上,并表现为病灶部位钙化的患者42例,应用本定位板进行定位后行病灶切除。结果 在42例患者中,有38例共计51个病灶被一次性切除;有4例4个病灶经过术中二次切除。在42例患者中,有13例患者为乳腺癌,其中包含浸润性导管癌8例,导管原位癌5例。13例患者中有11例患者经过术中一次手术切除即达到切沿阴性,2例患者经二次手术切除达到切沿阴性;29例良性病变患者均一次性切除,全部乳腺癌病例中保乳患者和良性病变患者术后外形均无毁损,患者满意。结论 自行设计的定位板用于钼靶摄片阳性但临床触诊不到的病灶(肿物)定位有较好的临床效果,具有操作简单、经济实用、安全便捷的特点,便于在基层医疗机构开展此类手术。
关键词:  乳腺定位  乳腺病变  钙化
DOI:
基金项目:淮安市科技局支撑项目(20140122)
Development and clinical application of breast location device
DENG Shuangnan,WANG Wenyan,LI Qingguo
(Department of General Surgery, The First People’s Hospital of Liangjiang New Area,;Department of Breast Surgery, Maternal and Child Health Care Hospital of Huai’an)
Abstract:
【Abstract】objective To manufacture a device for orientate in breast lesions and apply for clinical patients. Methods All 42 patients were palpationnegative breast lesions. The BIRADS classification was more than 4A with calcifications. The manufacture breast location device was given all the patients.Results Among the 38 cases, 51 lesions were thoroughly removed by one operation and another 4 lesions in 4 cases were removed twice. Among 42 cases,13 patients had breast cancers, including 8 cases of invasive ductal carcinoma, 5 cases of ductal carcinoma in situ. 11 cases were negative margins by first operation and 2 cases by twice. The mammary profiles of all the patients were perfective.Conclusion The orientate device for breast lesions is simple and cheap for patients.
Key words:  Breast orientate device  Breast lesions  Calcification

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