超声引导美蓝双重标记与经皮缝线牵引联合切除触诊阴性乳腺肿物

Clinical study on palpation-negative breast tumor resection with ultrasound-guided methylene blue labeling and percutaneous suture traction

目的探讨应用超声引导美蓝双重标记与经皮缝线牵引联合微创切除触诊阴性乳腺肿物的价值。方法对46例直径0．5～1．0cm的触诊阴性乳腺肿物，术前1h超声引导下应用美蓝对肿物及肿物四周行双重标记，术中经皮缝线牵引外提肿物，行手术准确切除肿物。术后1个月超声复查有无残留或误切。结果46例58个肿物均准确切除，无残留和误切。切除部分手术时间为10～20min。结论超声引导美蓝双重标记与经皮缝线牵引联合微创切除触诊阴性乳腺肿物，定位准确，手术时间短，创伤减轻，操作简单，便于普及和推广。

Objective To explore the significance of palpation-negative breast tumor resection with ultrasound-guided methylene blue labeling and percutaneous suture traction. Methods 46 cases of small breast tumors with the diameter from 0. 5 cm to 1.0 cm were double labeled with methylene blue under the guide of ultrasound 1 hour preoperatively. The tumors were fixed, drew outward with percutaneous suture and resected accurately. All the 46 cases were rechecked by ultrasound to verify whether residual or false resection occurred 1 month later. Results All the 58 tumors of the 46 patients were accurately resected. No residue or false resection occurred. The average operation duration was 10 rain to 20 rain. Conclusion Palpable-negative breast tumor resection with ultrasound-guided methylene blue labeling and percutaneous suture traction has the advantages of small invasion, accurate positioning and short operation duration.