超声引导下激光消融术治疗乳腺纤维腺瘤的效果研究  

Effect of ultrasound-guided laser ablation in treatment of patients with fibroadenoma of breast

作　　者：王慧[1] 周文斌[2] 邓晶[1] 李沁 巩海燕[1] WANG Hui;ZHOU Wenbin;DENG Jing;LI Qin;GONG Haiyan(Department of Ultrasound Diagnosis,The First Affiliated Hospital of Nanjing Medical University,Nanjing,Jiangsu,210029;Department of Breast Surgery,The First Affiliated Hospital of Nanjing Medical University,Nanjing,Jiangsu,210029)

机构地区：[1]南京医科大学第一附属医院超声诊断科,江苏南京210029 [2]南京医科大学第一附属医院乳腺外科,江苏南京210029

出　　处：《实用临床医药杂志》2021年第1期19-22,共4页Journal of Clinical Medicine in Practice

基　　金：国家自然科学基金青年科学基金资助项目(81502299)。

摘　　要：目的探讨激光消融术治疗乳腺纤维腺瘤的价值。方法选取经病理检查结果证实的乳腺纤维腺瘤患者15例,肿块最大径均在2.0 cm以下。比较激光消融术前及手术后1周超声造影检查结果,分析激光消融术的疗效。结果15例患者中,激光消融术前超声造影呈均匀高增强,消融术1周后超声造影呈无增强。激光消融术后病灶Alder血流分级0级9例,Ⅰ级3例,Ⅱ级3例。激光消融术前病灶增强影像体积为(1258.4±755.0)mm^(3),激光消融术后增强影像体积为(4157.6±682.0)mm^(3),差异有统计学意义(P<0.05)。结论激光消融术在乳腺纤维腺瘤治疗中有一定的疗效,超声造影可用于疗效评价。Objective To investigate the value of laser ablation in treatment of patients with fibroadenoma of breast.Methods Fifteen patients with fibroadenoma of breast confirmed by pathological examination results were selected,and the max diameter of the tumor was less than 2 cm.Results of contrast-enhanced ultrasound before and 1 week after laser ablation were compared,and the curative effect of laser ablation was analyzed.Results Of 15 patients,contrast-enhanced ultrasound showed homogeneous high enhancement before laser ablation but no enhancement after one week of laser ablation.After laser ablation,there were 9 cases with grade 0 of Alder blood flow classification,3 cases with gradeⅠand 3 cases with gradeⅡ.The volume of enhanced image of the focus before laser ablation was(1258.4±755.0)mm^(3),which was significantly lower than(4157.6±682.0)mm^(3) after laser ablation(P<0.05).Conclusion Laser ablation is effective in the treatment of patients with fibroadenoma of breast,and contrast-enhanced ultrasound can be used for evaluation of curative effect.

关 键 词：激光消融术 乳腺纤维腺瘤 超声造影 病灶 影像体积 

分 类 号：R737.9[医药卫生—肿瘤] R445.1[医药卫生—临床医学]