美蓝染色与术中B超定位在乳头溢液手术中的应用

目的探讨美蓝染色与术中B超定位在乳头溢液手术中的应用价值。方法将46例乳头溢液患者随机分为两组,分别采用美蓝染色及术中B超定位,确定病变导管后手术,并评价效果。结果美蓝组切除的腺体质量明显小于B超组,差异有统计学意义(P<0.05)。术野污染率美蓝组为13.04%(3/23),B超组为0(0/23);病灶遗漏率美蓝组为0(0/23),B超组为8.70%(2/23),两组比较,差异有统计学(P<0.05)。结论美蓝染色和术中B超定位对乳头溢液患者病灶的切除,具有安全、准确、实用等优点,两者合用可提高治疗效果。

Objective To investigate the value of methylene blue staining and intraoperative B-ultrasound localization in the operation of nipple discharge.Methods 46 cases with nipple discharge were randomLy divided into methylene blue group and B-ultrasound group. The operation began when the diseased galactophores were determined, and their clinical data were analyzed.Results The weight of excisional breast in the methylene blue group were significantly less than those in the B-ultrasound group （P0.05）. The incidence of operation field pollution in the methylene blue group was 13.04%（3/23）,while 0（0/23）in the B-ultrasound group. And the incidence of focus omission in the methylene blue group was 0（0/23）,while 8.70%（2/23） in the B-ultrasound group. It was a significantly difference （P0.05）.Conclusion The methods of methylene blue staining and intraoperative B-ultrasound localization were safe, exact and practical. The treatment effect could be increased when the two methods were combined.