钼靶引导安珂旋切活检术和定位导丝活检术在乳腺钙化中的效果比较

Comparison of the Effect of Mammography Guided EnCor Biopsy and Guided Wire Biopsy in Breast Calcification

摘要: 目的：比较钼靶引导下安珂(EnCor)真空旋切活检术和定位导丝活检术在乳腺钙化诊断中的临床效果。方法：选择2017年1月至2019年10月我院收治入院的80例钼靶示乳腺钙化的患者作为研究对象，在钼靶引导定位下，分别采取一次性定位导丝活检病理诊断(对照组)和安珂(EnCor)真空辅助旋切活检病理诊断(实验组)，术后比较两组方法诊断乳腺钙化的准确率和相关并发症发生率。结果：实验组在乳腺钙化定位准确性、灵敏度上要高于对照组(P < 0.05)，而两组之间的病理准确率、特异性无明显差异(P > 0.05)；实验组在手术时间、住院时间、术中出血量上均少于对照组(P < 0.05)，但实验组住院费用高于对照组(P < 0.05)；实验组中迷走反应、局部血肿、皮肤瘀斑、切口积液等并发症发生率均低于对照组(P < 0.05)。结论：钼靶引导下安珂真空旋切活检术和定位导丝切除活检术均是乳腺钙化病理诊断的两种准确方法，但安珂旋切活检术优于定位导丝活检术，前者是一种快捷高效、微创精准、并发症少的手术活检方法，可作为乳腺钙化活检的首选方法，值得有条件的医院广泛开展。

Abstract: Objective: To compare the clinical effect of EnCor vacuum biopsy and location guided wire biopsy in the diagnosis of breast calcification. Methods: From January 2017 to October 2019, the 80 patients with mammography calcification in our hospital were selected as the study objects, under the guidance of mammography. Guided wire biopsy (control group) and EnCor vacuum assisted biopsy (experimental group) were used respectively, to compare the accuracy and complications of two methods in diagnosing breast calcification. Results: The accuracy and sensitivity of breast calcification in the experimental group were higher than those in the control group (P < 0.05), but the pathological accuracy and specificity between the two groups had no significant difference (P > 0.05); the operation time, hospitalization time and intraoperative bleeding in the experimental group were less than those in the control group (P < 0.05), but the hospitalization expenses in the experimental group were higher than those in the control group (P < 0.05); the vagal reaction and local hematoma in the experimental group were higher than those in the control group (P < 0.05); the incidence of complications such as skin ecchymosis and incision effusion in the control group were lower than those in the control group (P < 0.05). Conclusion: EnCor vacuum biopsy and guided wire biopsy are two accurate methods for pathological diagnosis of breast calcification, but EnCor biopsy is superior to guided wire biopsy. The former is a fast, efficient, minimally invasive and precise surgical biopsy method with few complications, it can be used as the first choice of breast calcification biopsy, and it is worthy of being widely carried out in qualified hospitals.