超声引导下乳腺肿物体表标记联合染色与金属丝定位辅助切除不可触及乳腺病变的效果比较

Effect comparison between ultrasonic body surface localization of breast tumor combined with lesion staining and wire localization for the assisted resection of non-palpable breast lesion

目的对比超声引导下乳腺肿物体表标记联合染色与金属丝定位协助切除不可触及乳腺病变(NPBL)的效果,探讨超声引导下乳腺肿物体表标记联合染色技术的应用价值。方法回顾性分析2016年7月~2019年7月于解放军总医院第六医学中心行手术治疗的102例NPBL患者的临床资料,其中51例行超声引导下乳腺肿物体表标记联合染色法(观察组),51例行超声引导下导丝定位术(对照组)。比较两组患者的相关手术指标(切口长度、术中出血量、手术时间)、术后并发症发生情况、总满意率及肿瘤复发情况。结果观察组患者的切口长度和手术时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。观察组患者的总满意率高于对照组,差异有统计学意义(P<0.05)。两组患者的术后并发症总发生率比较,差异无统计学意义(P>0.05)。两组手术成功率均达到100%。两组随访1~6个月,均无肿瘤残留及复发。结论应用超声引导下乳腺肿物体表标记联合染色技术切除NPBL定位准确,切口小,手术时间短,术中出血量少,满意度高,适合推广。

Objective To compare the effect between ultrasonic body surface localization of breast tumor combined with lesion staining and wire localization for the assisted resection of non-palpable breast lesion(NPBL),so as to explore the application value of ultrasonic body surface localization of breast tumor combined with staining technology.Methods The clinical data of 102 patients with NPBL undergoing surgical treatment in the Sixth Medical Center of PLA General Hospital from July 2016 to July 2019 were retrospectively analyzed.Of the patients,51 cases underwent ultrasonic body surface localization combined with lesion staining(observation group)and the other 51 cases underwent ultrasound-guided wire-localized surgical resection(control group).The relevant surgical parameters such as length of incision,intraoperative blood loss,operation time,and incidence of postoperative complications,total satisfaction rate and tumor recurrence between the two groups were compared.Results The incision length and operation time of the observation group were shorter than those of the control group,and the intraoperative blood loss was less than that of the control group,the differences were statistically significant(P<0.05).The total satisfaction rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the total incidence of postoperative complications between the two groups(P>0.05).The success rate of surgery in both groups reached 100%.No residual tumor or recurrence occurred in the two groups during followed up for 1 to 6 months.Conclusion Application of ultrasonic body surface localization combined with lesion staining for resection of NPBL has accurate positioning,small incision,short operation time,less intraoperative blood loss,high satisfaction,and favorable promotion.