| 丁敏侠,柏艳红,唐凤珍,陆长春,艾 红.高频超声引导下导丝定位在不可触及乳腺包块切除术中的应用[J].,2018,(9):1776-1779 |
| 高频超声引导下导丝定位在不可触及乳腺包块切除术中的应用 |
| Application of High Frequency Ultrasound Guided Wire Positioning for the Non Palpable Breast Mass Resection |
| 投稿时间：2017-09-06 修订日期：2017-09-30 |
| DOI：10.13241/j.cnki.pmb.2018.09.038 |
| 中文关键词: 高频超声 导丝定位 乳腺包块 |
| 英文关键词: High frequency ultrasound Wire positioning Breast mass |
| 基金项目:汉中市科学技术奖（2016-216-R4） |
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| 中文摘要: |
| 摘要 目的：探讨高频超声引导下导丝定位在不可触及乳腺包块切除术中的应用价值。方法：回顾性分析90例临床不可触及但超声提示为乳腺包块的患者的临床资料，其中50例在高频超声引导乳腺病灶体表定位下行乳腺病灶切除术，40例在高频超声引导导丝定位下行乳腺病灶切除术。比较两组术前定位时间、手术时间、切除组织量/肿物组织量及术后并发症的发生情况、术后病理诊断及术后超声随访情况。结果：与体表定位组比较，导丝定位组定位时间显著延长(P＜0.05)，手术时间明显缩短(P＜0.05)，切除组织量/肿物组织量显著减小(P＜0.05)。体表定位组出现2例切口感染，5例血肿，两组不良反应的发生率相比差异无统计学意义(P＞0.05)。体表定位组良性48例(96.0%)，恶性病灶2例(4.0%)。导丝定位组良性病灶36例(90.0%)，恶性病灶4例(10.0%)。两组病理诊断为良/恶病灶的比例无统计学意义(P＞0.05)。术后超声随访6~12个月，病灶切除情况比较差异无统计学意义(P＞0.05)。结论：高频超声引导下导丝定位精确，可明显缩短手术时间，减少对正常乳腺组织的破坏，可作为行不可触及乳腺包块切除术的优先选择。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the application value of high frequency ultrasound guided wire localization for the non palpa- ble breast mass resection. Methods: The clinical data of 90 cases of patients with palpable breast masses were retrospectively analyzed, 50 cases were under surface positioning of breast lesions guided by high frequency ultrasound, and 40 cases were under wire positioning of breast lesions guided of high frequency ultrasound. The preoperative positioning time, operation time, the amount of resected tissue dose/tumor dose, postoperative complications, postoperative pathological diagnosis and postoperative follow-up were compared between the two groups. Results: Compared with the surface positioning group, the positioning time of positioning group was significantly extended(P<0.05), and operation time was shortened (P<0.05), the resected tissue dose/tumor dose was reduced(P<0.05) and incidence of com- plications showed no statistically significant difference between two groups(P>0.05). 48 cases (96%) was optimum in surface location group, and 2 cases (4%) was malignant lesions. There were 36 cases of benign lesions in the wirepositioning group (90%), and 4 cases of malignant lesions (10%). The pathological diagnosis of benign lesions / cachexia ratio of two groups showed no statistically significant difference (P>0.05). The patients were followed up for 6~12 months after operation, and there was no significant difference in the lesions resection between the two groups(P>0.05). Conclusion: High frequency ultrasound guided wire localization showed high accuracy, which can significantly shoren the operation time, reduce the damage to normal breast tissue.It was an excellent choice for non palpable breast mass resection. |
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