术中超声引导下导丝定位联合体表定位切除触诊阴性乳腺病灶

Intraoperative Ultrasound-guided Wire-localization Combined with Body Surface Mapping in Removing the Nonpalpable Breast Lesions

目的探讨术中超声引导下导丝定位联合体表定位在切除乳腺触诊阴性病灶(NPBL)中的应用价值。方法选取2015年1月—2016年6月该院乳腺甲状腺外科收治的97例临床触诊阴性的乳腺病灶,术中超声引导下导丝定位联合皮肤体表定位切除病灶,明确病理诊断。结果该次研究的97例患者的141个乳腺病灶中,成功几率为100%,且均无感染、血肿及导丝移位等情况出现。恶性肿瘤患者术中有9例患者实施保乳手术,3例浸润癌性乳腺癌患者进行改良根治手术,且术中冰冻切片病检结果与术后石蜡病检结果一致。术后患者未感到不适,术中无切口感染等不良情况。结论术中超声引导下导丝定位联合皮肤体表定位辅助切除临床触诊阴性乳腺病灶较准确,对良性病灶可缩小手术切除范围,对恶性病变可早发现,早治疗,值得在临床治疗中推广使用。

Objective To study the application value of intraoperative ultrasound-guided wire-localization combined with Body surface mapping in removing the nonpalpable breast lesions. Methods 97 cases of patients with nonpalpable breast lesions in our hospital from January 2015 to June 2016 were selected and the lesions of patients were removed by the ultrasound-guided wire-localization combined with Body surface mapping thus clearing the pathological diagnosis. Results Of 141 cases of breast lesions of 97 cases of patients, the successful probability was 100%, without infection, hematoma and wire-replacement, in the operation of patients with malignant tumors, there were 9 cases with breast-conserving surgery and 3 invasive cancer of breast cancer cases with modified radical surgery, and the intraoperative frozen slice pathological results were consistent with the postoperative paraffin disease results, and the patients did not feel discomfort, and there were no adverse reactions such as incision infection. Conclusion The intraoperative ultrasound-guided wire-localization combined with body surface mapping in removing the nonpalpable breast lesions is accurate, which can shorten the operation removal range of benign lesions and discover and treat the malignant lesions as early as possible, which is worth promotion and application in clinical treatment.