术中B超动态引导切除乳腺微小肿物临床应用体会

Experience of excision of mammary minute mass by using dynamic B-type ultrasonic guiding

目的探讨乳腺微小肿物在B超动态引导下切除的临床应用体会。方法对100例临床检查不能触及的乳腺微小肿物女性患者按手术方式不同分成2组,术中B超引导组56例,对照组44例,术中B超引导组在术中B超动态引导下切除肿物,对照组实行术前体表定位,按定位切除肿物。结果术中B超引导组56例患者肿物皆被准确切除,平均手术时间18 min,对照组42例患者肿物被准确切除,2例漏切,平均手术时间27 min。结论 B超术中动态引导切除乳腺微小肿物,准确、快速、美观、经济,可用于乳腺微小肿块早期诊断和治疗。

Objective To investigate the application experience of excision of mammary minute mass with the dynamic guiding of B-type ultrasound in surgery. Methods 100 cases of female patients with nonpalpable mammary minute lesions were divided into two groups by operative method, intraoperative B-type ultrasound guided group （n=56） and control group （n=44）. In the intraoperative B-type ultrasound guided group, the mammary masses were removed by intraoperative dynamic B-type ultrasonic guiding. In the control group, mammary masses resection was performed through preoperative B-type ultrasound localization. Results All mammary masses in the intraoperative B-type ultrasound guided group were excised accurately, the average operation time was 18 rain. Of 42 cases in the control group, two cases were not removed the mammary minute lesions due to misresection and the average operation time was 27 min. Conclusion The excision of mammary minute mass with the dynamic guiding of B-type ultrasound is accurate, fast, nice appearance and economic, and can be used for early period diagnosis and treatment of mammary minute mass.