钼靶、超声及乳管镜下放置定位针用于切除触诊阴性乳腺病变手术切除中的效果分析

Effect of Molybdenum Target,Ultrasound and Placement Needle Under Laparoscopy in Resection of Palpate-Negative Breast Lesions

目的:分析钼靶、超声及乳管镜下放置定位针用于切除触诊阴性乳腺病变手术切除中的效果。方法:选取2018年1月~2019年12月本院345例触诊阴性乳腺病变患者,术前分别采用钼靶、超声及乳管镜下放置定位针进而切除病灶。比较两组患者的影像学、定位方法、手术效果、病理组织学和预后情况。结果:乳管镜检查病理结果阳性125例(80.13%),钼靶检查病理结果阳性57例(45.24%),乳管镜检查病理结果阳性率高于钼靶组,差异具有统计学意义(P<0.05)。乳管镜检查病理结果阳性125例(80.13%),超声检查病理结果阳性41例(65.08%),乳管镜检查病理结果阳性率高于超声组,差异具有统计学意义(P<0.05)。超声检查病理结果阳性41例(65.08%),钼靶检查病理结果阳性57例(45.24%),超声检查病理结果阳性率高于钼靶组,差异具有统计学意义(P<0.05)。结论:与钼靶、超声相比,乳管镜下放置定位针用于切除触诊阴性乳腺病变手术切除提高了手术切除的准确性,有利于进行定性判断,促进早期发现和诊断,进而提高诊疗水平。

Objective:The effects of molybdenum target,ultrasound,and placement needle under laparoscopy on the resection of palpation-negative breast lesions were analyzed.Method:Select 345 patients with palpable negative breast lesions in our hospital from January 2018 to December 2019,before surgery,molybdenum targets were used,a positioning needle was placed under ultrasound and laparoscopy to remove the lesion.Compare the imaging,positioning method,surgical effect,histopathology and prognosis.Result:125 cases(80.13%)had positive pathological results with mammoscopy,57 cases(45.24%)had positive pathological results on the target of molybdenum,the positive rate of pathological results of mammoscopy was higher than that of the molybdenum target group,The difference is statistically significant(P<0.05),125 cases(80.13%)had positive pathological results with mammoscopy.41 cases(65.08%)had positive pathological results on ultrasound,the positive rate of pathological results of mammoscopy was higher than that of ultrasound group.The difference was statistically significant(P<0.05).41 cases(65.08%)had positive pathological results on ultrasound,57 cases(45.24%)had positive pathological results on the target of molybdenum,the positive rate of pathological results of ultrasound examination was higher than that of molybdenum target group,the difference was statistically significant(P<0.05).Conclusion:With molybdenum target,compared to ultrasound,placement of a positioning needle under laparoscopy for the removal of palpation-negative breast lesions improves the accuracy of surgical resection,facilitates qualitative judgment,promote early detection and diagnosis,further improve the level of diagnosis and treatment.