超声引导下导丝定位在不可触及乳腺病灶切除中的应用  

Application of Ultrasound-guided Wire Localization in Surgical Excision of Non-palpable Breast Lesions

作　　者：马步云[1] 兰琳[1] 梁丽[1] 彭玉兰[1] 陈启锐[1] 

机构地区：[1]四川大学华西医院超声科,成都610041

出　　处：《华西医学》2011年第7期986-988,共3页West China Medical Journal

摘　　要：目的探讨超声引导下导丝定位在不可触及的乳腺病灶切除中的应用价值。方法对2005年1月2010年9月127例女性患者的137个乳腺病灶(临床扪诊均为阴性),在超声引导下进行导丝定位,后进行外科切除活检,并对相关资料进行回顾性分析。结果 137个病灶的组织学结果中,良性病灶101个(73.7%)、高风险病灶27个(19.7%)和癌9个(6.6%)。9个癌中3个为导管原位癌,6个为浸润性导管癌(大小11～19mm,平均14.2mm)。超声引导下导丝定位的时间为3～15min,平均6min;无血肿、导丝脱落及折断等并发症发生。外科手术切除时间20～40min,平均30min。结论超声引导下进行导丝定位安全、迅速,能协助外科手术进行准确的活检和切除。Objective To determine the application value of ultrasound-guided wire localization in surgical excision of non-palpable breast lesions.Methods Between January 2005 and September 2010,127 women with 137 non-palpable breast lesions underwent surgical excision at West China Hospital.Palpation results for all the lesions were negative.Wire localization guided by ultrasound was performed before operation and biopsy.Related imaging studies and medical records were reviewed retrospectively.Results Histological findings showed there were 101 benign lesions（73.7%）,27 high-risk lesions（19.7%）,and 9 carcinomas（6.6%）.Among the 9 carcinomas,3 were ductal carcinoma in situ,and 6 were infiltrating carcinoma（with their size ranged from 11 to 19 mm averaging at 14.2 mm）.The time of performing ultrasound-guided wire localization was from 3 to 15 minutes averaging at 6.No complications like hematoma,wire fragments,and wire breakage occurred in all cases.The surgical excision time ranged from 20 to 40 minutes averaging at 30.Conclusions Ultrasound-guided wire localization can be performed quickly and safely for the cases of non-palpable breast lesions.It is useful in assisting surgical excision and biopsy.

关 键 词：乳腺病灶 超声引导 导丝定位 手术 

分 类 号：R655.8[医药卫生—外科学]