钼靶金属丝联合超声定位在不可触及乳腺钙化病灶手术中的应用价值  

Clinical value of localization by combined mammography and intraoperative ultrasonography in resection of non-palpable breast calcification

作　　者：胡祖健[1] 徐海滨[1] 何俊玲[1] 苏昆仑[1] 罗华[1] 杜芳[2] 王晓晨[3] 

机构地区：[1]杭州市中医院乳腺外科,310007 [2]杭州市中医院放射科,310007 [3]浙江大学医学院附属第二医院肿瘤外科

出　　处：《浙江医学》2015年第11期941-943,1017,共3页Zhejiang Medical Journal

基　　金：浙江省医学会临床科研基金(2013ZYC-A49)

摘　　要：目的探讨钼靶金属丝和超声定位在不可触及乳腺钙化病灶(NPBC)手术中的应用价值。方法将2012年8月至2014年5月收治的135例NPBC患者随机分为钼靶金属丝定位组(MWG组)和钼靶金属丝联合术中超声定位组(CWUG组),MWG组60例患者行钼靶金属丝定位切除,CWUG组75例患者行钼靶金属丝和术中超声联合定位切除,比较两组患者手术成功切除率、手术时间、再次手术率、切除标本重量、术后乳房外形满意率。结果两种方法均成功切除了NPBC,MWG组有6例患者再次手术切除,再次手术率为10.0%(6/60),CWUG组没有再次手术切除患者,再次手术率0.0%(0/75);两组患者平均手术时间分别为(25.20±3.70)min和(23.30±4.50)min,组间比较均无统计学差异(均P>0.05)。两组手术切除标本平均重量分别为(27.68±6.97)g和(21.65±7.89)g;MWG组术后乳房外形满意率为55.0%(33/60),CWUG组满意率为92.0%(69/75),组间比较均有统计学差异(均P<0.05)。结论联合应用钼靶金属丝和术中超声定位切除NPBC有较多优点,如病灶遗漏少,对乳房外形影响小等,值得临床推广。Objective To assess the clinical value of localization by combined mammography and intraoperative ultra- sound in resection of non-palpable breast calcification （NPBC）. Methods One hundred and thirty five patients with NPBC un- dergoing surgical resection were randomly divided into mammography wire-guided localization group （MWG, n=60） and com- bined wire and intraoperative ultrasonography group（CWUG, n=75）. The operation time, weight of resected samples and the sat- isfactory rate were compared between two group. Results The resections were performed successfully in all 135 cases. In MWG group 6 cases required second resection with a reoperation rate of 10.0%（6/60）, while the reoperation rate in CWUG group was 0.0%（0/75, P〈0.05）. The operative time in MWG and CWUG groups were （25.20 ± 3.70）min and （23.30 ± 4.50）min, respec- tively （P 〉0.05）. The weights of resected samples were （27.68 ± 6.97）g and （21.65 ± 7.89）g, respectively in two groups. The satis- factory rates in MWG and CWUG were 55.0%（33/60） and 92.0%（69/75） respectively（P〈0.05）. Conclusion Combination of intra- operative ultrasonography and mammography localization has advantages for resection of NPBC.

关 键 词：术中超声 钼靶 不可触及乳腺钙化病灶 

分 类 号：R655.8[医药卫生—外科学]