由于超声检查技术的广泛应用,对于临床上不可触及的乳腺结节检出率越来越高,随着乳腺癌发病率逐年上升趋势,能够快捷、准确判断此类结节性质,并进行相应治疗可以明显改善患者的预后（[1]）,对乳腺癌早发现、早诊断、早治疗具有重要意义...由于超声检查技术的广泛应用,对于临床上不可触及的乳腺结节检出率越来越高,随着乳腺癌发病率逐年上升趋势,能够快捷、准确判断此类结节性质,并进行相应治疗可以明显改善患者的预后（[1]）,对乳腺癌早发现、早诊断、早治疗具有重要意义。如何快捷、有效地明确临床不可触及乳腺病灶（non-palpablr breast lesions,NPBL）的性质是目前急需解决的问题之一。展开更多
随着女性自我保健意识的提高和医学影像技术的发展和进步，越来越多的不可触及的乳腺病灶（non-palpable breast lesion，NPBL）被检出［1-4］。超声引导下导丝定位使临床做到了小病灶的精确切除。本文收集整理了我院2010—2012年导丝...随着女性自我保健意识的提高和医学影像技术的发展和进步，越来越多的不可触及的乳腺病灶（non-palpable breast lesion，NPBL）被检出［1-4］。超声引导下导丝定位使临床做到了小病灶的精确切除。本文收集整理了我院2010—2012年导丝定位手术切除的125例（192个）乳腺结节，对照病理结果进行分析，讨论超声引导下乳腺可疑结节导丝穿刺定位的临床意义。展开更多
随着现代影像技术的不断发展及人们保健意识的提高，越来越多的乳腺微小癌病灶，尤其是临床上触诊阴性的乳腺病灶（nonpalpable breast lesions，NPBL）得以发现。许多研究表明，乳腺癌患者的生存期因肿块体积的不同而呈一种台阶式的改...随着现代影像技术的不断发展及人们保健意识的提高，越来越多的乳腺微小癌病灶，尤其是临床上触诊阴性的乳腺病灶（nonpalpable breast lesions，NPBL）得以发现。许多研究表明，乳腺癌患者的生存期因肿块体积的不同而呈一种台阶式的改变：肿块越大，生存期越短[1]。因此，乳腺癌的早期发现、早期诊断、早期治疗有着非常重要的意义。如何利用现有技术对这类微小病灶进行正确评估并对怀疑恶性的病灶进行早期治疗已成为研究热点。我们采用超声引导下导丝定位方法切除乳腺微小病灶，取得较好的效果，现报道如下。展开更多
Background:Various methods to drain pancreatic pseudocysts by using EUS guidance have been reported in the literature.Objective:A new drainage technique is described that uses a modified needle knife advanced over a g...Background:Various methods to drain pancreatic pseudocysts by using EUS guidance have been reported in the literature.Objective:A new drainage technique is described that uses a modified needle knife advanced over a guidewire positioned in the pseudocyst by EUS guidance.Design:Retrospective chart review.Setting:Academic medical center.Patients:Consecutive subjects from December 1,2002,to January 10,2005,with symptomatic pseudocysts in whom EUS-guided drainage was attempted.Interventions:By using a therapeutic linear echoendoscope,a 19-gauge aspiration needle was inserted into the pseudocyst.A guidewire was placed through the needle,and a needle knife with the cutting wire protruding and bent was advanced over the guidewire to contact the stomach mucosa.The needle knife was then advanced by using electrocautery into the pseudocyst.The cystenterostomy was dilated by using a balloon over the guidewire.One to 4 stents were placed through the tract.Main Outcome Measurements:Successful pseudocyst drainage.Results:A total of 21 of 23 patients underwent technically successful pseudocyst drainage.One patient had self-limited hypotension during the procedure.Another patient had free intraperitoneal air after the procedure but correct stent placement.Limitations:Retrospective analysis,small sample size.Conclusions:In this preliminary experience,wire-guided pseudocyst drainage with a modified needle knife appears effective and safe while allowing for a more controlled pseudocyst puncture.展开更多
文摘由于超声检查技术的广泛应用,对于临床上不可触及的乳腺结节检出率越来越高,随着乳腺癌发病率逐年上升趋势,能够快捷、准确判断此类结节性质,并进行相应治疗可以明显改善患者的预后（[1]）,对乳腺癌早发现、早诊断、早治疗具有重要意义。如何快捷、有效地明确临床不可触及乳腺病灶（non-palpablr breast lesions,NPBL）的性质是目前急需解决的问题之一。
文摘随着女性自我保健意识的提高和医学影像技术的发展和进步，越来越多的不可触及的乳腺病灶（non-palpable breast lesion，NPBL）被检出［1-4］。超声引导下导丝定位使临床做到了小病灶的精确切除。本文收集整理了我院2010—2012年导丝定位手术切除的125例（192个）乳腺结节，对照病理结果进行分析，讨论超声引导下乳腺可疑结节导丝穿刺定位的临床意义。
文摘随着现代影像技术的不断发展及人们保健意识的提高，越来越多的乳腺微小癌病灶，尤其是临床上触诊阴性的乳腺病灶（nonpalpable breast lesions，NPBL）得以发现。许多研究表明，乳腺癌患者的生存期因肿块体积的不同而呈一种台阶式的改变：肿块越大，生存期越短[1]。因此，乳腺癌的早期发现、早期诊断、早期治疗有着非常重要的意义。如何利用现有技术对这类微小病灶进行正确评估并对怀疑恶性的病灶进行早期治疗已成为研究热点。我们采用超声引导下导丝定位方法切除乳腺微小病灶，取得较好的效果，现报道如下。
文摘Background:Various methods to drain pancreatic pseudocysts by using EUS guidance have been reported in the literature.Objective:A new drainage technique is described that uses a modified needle knife advanced over a guidewire positioned in the pseudocyst by EUS guidance.Design:Retrospective chart review.Setting:Academic medical center.Patients:Consecutive subjects from December 1,2002,to January 10,2005,with symptomatic pseudocysts in whom EUS-guided drainage was attempted.Interventions:By using a therapeutic linear echoendoscope,a 19-gauge aspiration needle was inserted into the pseudocyst.A guidewire was placed through the needle,and a needle knife with the cutting wire protruding and bent was advanced over the guidewire to contact the stomach mucosa.The needle knife was then advanced by using electrocautery into the pseudocyst.The cystenterostomy was dilated by using a balloon over the guidewire.One to 4 stents were placed through the tract.Main Outcome Measurements:Successful pseudocyst drainage.Results:A total of 21 of 23 patients underwent technically successful pseudocyst drainage.One patient had self-limited hypotension during the procedure.Another patient had free intraperitoneal air after the procedure but correct stent placement.Limitations:Retrospective analysis,small sample size.Conclusions:In this preliminary experience,wire-guided pseudocyst drainage with a modified needle knife appears effective and safe while allowing for a more controlled pseudocyst puncture.
