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术中超声引导下导丝定位在触诊阴性乳腺病灶切除活检中的应用

China Modern Doctor(2019)

Cited 5|Views6
Abstract
目的 探讨术中超声引导下导丝定位在不可触及乳腺病灶切除活检中与术前超声体表定位相比是否具有优势.方法 选取2015年7月~2018年1月温州市中心医院肿瘤外科收治的158例超声提示乳腺结节而临床触诊阴性的单病灶患者,按1∶1随机分为体表定位组(79例)和导丝定位组(79例),两组均行手术切除活检,分别收集两组病例的一般临床资料、手术时间、切除组织体积、是否一次完整切除及术后病理结果,分别于术后6个月和1年B超随访1次,记录是否复发.结果 两组患者在年龄、BMI、病灶长径、BI-RADS分类、病灶位置的差异均无统计学意义(P>0.05).两组患者在手术时间(P<0.001)、切除组织量(P<0.001)差异具有统计学意义,在病灶单次切除率、病理结果及术后6个月及1年的复发率方面差异无统计学意义(P>0.05).结论 术中超声引导下穿刺导丝定位在不可触及乳腺病灶活检中较术前体表定位能节省手术时间,减少正常乳腺组织损伤,且操作简便,值得临床推广应用.
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