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华西医学  2011 

超声引导下导丝定位在不可触及乳腺病灶切除中的应用

, PP. 986-988

Keywords: 乳腺病灶,超声引导,导丝定位,手术

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Abstract:

【】 目的 探讨超声引导下导丝定位在不可触及的乳腺病灶切除中的应用价值。 方法 对2005年1月-2010年9月127例女性患者的137个乳腺病灶(临床扪诊均为阴性),在超声引导下进行导丝定位,后进行外科切除活检,并对相关资料进行回顾性分析。 结果 137个病灶的组织学结果中,良性病灶101个(73.7%)、高风险病灶27个(19.7%)和癌9个(6.6%)。9个癌中3个为导管原位癌,6个为浸润性导管癌(大小11~19mm,平均14.2mm)。超声引导下导丝定位的时间为3~15min,平均6min;无血肿、导丝脱落及折断等并发症发生。外科手术切除时间20~40min,平均30min。 结论 超声引导下进行导丝定位安全、迅速,能协助外科手术进行准确的活检和切除。【Abstract】 Objective Todeterminetheapplicationvalueofultrasound-guidedwirelocalizationinsurgicalexcisionofnon-palpablebreastlesions. Methods BetweenJanuary2005andSeptember2010,127womenwith137non-palpablebreastlesionsunderwentsurgicalexcisionatWestChinaHospital.Palpationresultsforallthelesionswerenegative.Wirelocalizationguidedbyultrasoundwasperformedbeforeoperationandbiopsy.Relatedimagingstudiesandmedicalrecordswerereviewedretrospectively. Results Histologicalfindingsshowedtherewere101benignlesions(73.7%),27high-risklesions(19.7%),and9carcinomas(6.6%).Amongthe9carcinomas,3wereductalcarcinomainsitu,and6wereinfiltratingcarcinoma(withtheirsizerangedfrom11to19mmaveragingat14.2mm).Thetimeofperformingultrasound-guidedwirelocalizationwasfrom3to15minutesaveragingat6.Nocomplicationslikehematoma,wirefragments,andwirebreakageoccurredinallcases.Thesurgicalexcisiontimerangedfrom20to40minutesaveragingat30. Conclusions Ultrasound-guidedwirelocalizationcanbeperformedquicklyandsafelyforthecasesofnon-palpablebreastlesions.Itisusefulinassistingsurgicalexcisionandbiopsy.

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