不可触及乳腺包块切除术中高频超声引导下导丝定位的应用价值

Clinical value of high-frequency ultrasound-guided wire localization in the resection of non-palpable breast mass

目的：探讨高频超声引导下导丝定位在不可触及乳腺包块切除术中的临床应用价值。方法：对63例超声提示乳腺包块,而临床不可触及,或触诊不满意,又均需手术切除的病例,在超声引导下行导丝定位,后行外科手术切除,送病理检查。结果：63个病灶均一次成功定位,且导丝均位于病灶内。所有病灶在手术中均被准确完整切除,无血肿、导丝脱落及折断等并发症发生。导丝定位时间3-10min,平均5min。外科手术时间15-40min,平均25min。结论：对于不可触及乳腺包块的手术切除,超声引导下导丝定位简单易行,定位准确,可有效缩短手术时间,并减少术中腺体损伤。

Objective： To investigate the value of high--frequency ultrasound--guided wire localization in the resection of non--palpable breast mass. Methods. Sixty--three patients with breast mass, which were diagnosed through ultrasound but non--palpable by surgeon, were selected. After ultrasound-- guided wire localizations were performed,the mass were excised and sent to biopsies. Results： Sixty--three lesions were successfully localized and guide wires were located within the lesions. All lesions were accurately and completely removed without any complications such as hematoma, guide wire falling off and broken etc inall cases. The time needed for guide wire localization ranged from 3 to 10 min with an average of 5 min. The time for surgical excision ranged from 15 to 40 min with an average of 25 min. Conclusion： In the resection of non--palpable breast mass, ultrasound--guided wire localization can be performed simply and accurately, and can shorten the time for surgical excision and reduce gland damage in surgery.