摘要
目的探讨术中超声引导下导丝定位在不可触及乳腺病灶切除活检中与术前超声体表定位相比是否具有优势。方法选取2015年7月~2018年1月温州市中心医院肿瘤外科收治的158例超声提示乳腺结节而临床触诊阴性的单病灶患者,按1:1随机分为体表定位组(79例)和导丝定位组(79例),两组均行手术切除活检,分别收集两组病例的一般临床资料、手术时间、切除组织体积、是否一次完整切除及术后病理结果,分别于术后6个月和1年B超随访1次,记录是否复发。结果两组患者在年龄、BMI、病灶长径、BIRADS分类、病灶位置的差异均无统计学意义(P>0.05)。两组患者在手术时间(P<0.001)、切除组织量(P<0.001)差异具有统计学意义,在病灶单次切除率、病理结果及术后6个月及1年的复发率方面差异无统计学意义(P>0.05)。结论术中超声引导下穿刺导丝定位在不可触及乳腺病灶活检中较术前体表定位能节省手术时间,减少正常乳腺组织损伤,且操作简便,值得临床推广应用。
Objective To investigate whether intraoperative ultrasound-guided guidewire positioning is superior to preoperative ultrasound surface localization in the biopsy of nonpalpable breast lesion resection.Methods A total of 158 patients with single-focal lesions and nonpalpable ultrasound-indicating breast nodules who were admitted to the Department of Oncological Surgery in Wenzhou Central Hospital from July 2015 to January 2018 were selected.According to 1:1 randomization,the patients were assigned to the body surface localization group(79 cases)and guidewire positioning group(79 cases).Surgical resection biopsy was performed in both groups.The general clinical data,surgery time,volume of resected tissues,whether a complete resection was performed and postoperative pathological results were collected for both groups.B-ultrasound was used in the follow-up visit 6 months and 1 year after the surgery to record any recurrence.Results There were no statistically significant differences in age,BMI,lesion length,BI-RADS classification,and lesion location between the two groups(P>0.05).The differences between the two groups in the surgery time(P<0.001)and the amount of resected tissues(P<0.001)were statistically significant.There were no statistically significant differences in the single resection rate,pathological results and recurrence rate at 6 months and 1 year after surgery(P>0.05).Conclusion Compared with the preoperative body surface localization,intraoperative ultrasound-guided puncture guidewire positioning in the nonpalpable breast lesion biopsy can save surgery time and reduce normal breast tissue damage,and it is easy to operate,which is worthy of clinical promotion and application.
作者
马海广
陈美华
王昭君
林文雪
张祥建
胡晓清
MA Haiguang;CHEN Meihua;WANG Zhaojun;LIN Wenxue;ZHANG Xiangjian;HU Xiaoqing(Department of Oncological Surgery,Wenzhou Central Hospital in Zhejiang,Wenzhou 325000,China)
出处
《中国现代医生》
2019年第24期78-82,共5页
China Modern Doctor
基金
浙江省医药卫生科技计划面上项目(2019KY657)
浙江省温州市科技局科技计划项目(Y20170540)
关键词
乳腺
超声引导
导丝定位
活检
Breast
Ultrasound guidance
Guidewire positioning
Biopsy
