放射性粒子定位与导丝定位引导切除不可触及乳腺癌病灶有效性和安全性的Meta分析

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Abstract Objective To systematically review the efficacy and safety of radioactive seed localization (RSL) and versus wire-guided localization (WGL) guiding the resection of the non-palpable breast cancer lesions.Methods Databases of CNKI, Web of Science, PubMed, EMBASE, OVID, EBSCO and Cochrane Library were searched by computer, and the retrieval time was from the database construction to March 1, 2019.Meta-analysis was conducted by RevMan 5.3 after the quality of studies was evaluated.Results A total of 13 studies were included，the positive rate of incised margin and the rate of reoperation in the RSL group were lower than those in the WGL group, the differences were statistically significant (OR=0.79, 95%CI 0.68-0.92, P=0.002; OR=0.71, 95%CI 0.59-0.84，P＜0.0001].There was no significant difference in the intra-operative re-excision rate and postoperative complication rate between two groups (OR=0.85,95%CI 0.68-1.07, P=0.16; OR=1.40, 95%CI 0.86-2.27, P=0.18).Conclusion Compared with WGL, RSL has lower rate of positive excision margins rate and reoperation rate, and may have a wider application prospect in the future.

Key words： Non-palpable breast lesions Radioactive seed Wire-guided Meta-analysis

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	Articles by authors
	ZHANG Mao-quan
	XIAO Jian
	CHEN Wen-xin
	WANG He-bing
	YANG Bing-lin
	CHEN Ji-cheng

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ZHANG Mao-quan,XIAO Jian,CHEN Wen-xin, et al. Efficacy and safety of radioactive seed localization and versus wire-guided localization guiding the resection of non-palpable breast cancer lesions：a Meta-analysis[J]. 中国当代医药, 2020, 27(3): 8-11转16.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I3/8

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