期刊文献+

钼靶金属丝联合超声定位在不可触及乳腺钙化病灶手术中的应用价值 被引量:1

Clinical value of localization by combined mammography and intraoperative ultrasonography in resection of non-palpable breast calcification
下载PDF
导出
摘要 目的探讨钼靶金属丝和超声定位在不可触及乳腺钙化病灶(NPBC)手术中的应用价值。方法将2012年8月至2014年5月收治的135例NPBC患者随机分为钼靶金属丝定位组(MWG组)和钼靶金属丝联合术中超声定位组(CWUG组),MWG组60例患者行钼靶金属丝定位切除,CWUG组75例患者行钼靶金属丝和术中超声联合定位切除,比较两组患者手术成功切除率、手术时间、再次手术率、切除标本重量、术后乳房外形满意率。结果两种方法均成功切除了NPBC,MWG组有6例患者再次手术切除,再次手术率为10.0%(6/60),CWUG组没有再次手术切除患者,再次手术率0.0%(0/75);两组患者平均手术时间分别为(25.20±3.70)min和(23.30±4.50)min,组间比较均无统计学差异(均P>0.05)。两组手术切除标本平均重量分别为(27.68±6.97)g和(21.65±7.89)g;MWG组术后乳房外形满意率为55.0%(33/60),CWUG组满意率为92.0%(69/75),组间比较均有统计学差异(均P<0.05)。结论联合应用钼靶金属丝和术中超声定位切除NPBC有较多优点,如病灶遗漏少,对乳房外形影响小等,值得临床推广。 Objective To assess the clinical value of localization by combined mammography and intraoperative ultra- sound in resection of non-palpable breast calcification (NPBC). Methods One hundred and thirty five patients with NPBC un- dergoing surgical resection were randomly divided into mammography wire-guided localization group (MWG, n=60) and com- bined wire and intraoperative ultrasonography group(CWUG, n=75). The operation time, weight of resected samples and the sat- isfactory rate were compared between two group. Results The resections were performed successfully in all 135 cases. In MWG group 6 cases required second resection with a reoperation rate of 10.0%(6/60), while the reoperation rate in CWUG group was 0.0%(0/75, P〈0.05). The operative time in MWG and CWUG groups were (25.20 ± 3.70)min and (23.30 ± 4.50)min, respec- tively (P 〉0.05). The weights of resected samples were (27.68 ± 6.97)g and (21.65 ± 7.89)g, respectively in two groups. The satis- factory rates in MWG and CWUG were 55.0%(33/60) and 92.0%(69/75) respectively(P〈0.05). Conclusion Combination of intra- operative ultrasonography and mammography localization has advantages for resection of NPBC.
出处 《浙江医学》 CAS 2015年第11期941-943,1017,共3页 Zhejiang Medical Journal
基金 浙江省医学会临床科研基金(2013ZYC-A49)
关键词 术中超声 钼靶 不可触及乳腺钙化病灶 Intraoperative ultrasound Mammography Nonpalpable breast calcification
  • 相关文献

参考文献9

  • 1Skinner K A, Silberman H, Sposto R, et al. Palpable breast can- cers are inherently different from nonpalpable breast cancers[J]. Ann Surg Qncol,2001,8(9): 705-710. 被引量:1
  • 2Lovrics P J, Cornacchi S D, Farrokhyar F, et al. The relationship between surgical factors and margin status after breast conser- vation surgery for early stage breast cancer[J]. Am J Surg, 2009, 197(6):740-746. 被引量:1
  • 3Potterton A J, Peakman D J, Young J R. Ultrasound demonstra- tion of small breast cancers detected by mammographic screening[J]. Clin Radiol,1994,49(11):808-813. 被引量:1
  • 4Berg W A, Arnoldus C L, Teferra E, et al. Biopsy of amorphous breast calcifications: pathologic outcome and yields at stereo- tactic biopsy[J].Radiology,2001,221(2):495-503. 被引量:1
  • 5Frank H A, Hall F M, Steer M L. Preoperative localization of non- palpable breast lesions demonstrated by mammography[J]. N Engl J Med, 1976,295(5):259-260. 被引量:1
  • 6Staradub V L, Rademaker A W, Morrow M. Factors influencing outcomes for breast conservation therapy for mammographically detected malignancies[J]. J Am Coil Surg,2003,196(4):518-524. 被引量:1
  • 7Sauven P, Bishop H, Patnick J, et aI.The National Health Service Breast Screening Programme and British and British Association of Surgical Oncology audit of quality assurance in breast screening 1996-2001 [J]. Br J Surg,2003,90(1 ):82-87. 被引量:1
  • 8Buamey R W. The British Association of Surgical Oncology Guidelines for surgeons in the management of symptomatic breast disease in the UK (1998 revision). BASO Breast Speciality Group[J]. Eur J Surg Oncol, 1998,24(6):464-476. 被引量:1
  • 9Lawrence G, O'Sullivan E, Kearins O, et al. Screening histories of invasive breast cancers diagnosed 1989-2006 in the West Mid- lands, UK:variation with time and impact on 10-year survival[J].J Med Screen, 2009,16(4): 186-192. 被引量:1

同被引文献4

引证文献1

二级引证文献7

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部