超声引导下不同标记法对不可触及乳腺肿物病灶切除准确率及切除组织量的影响  

The influence of different ultrasound-guided labeling methods on the accuracy of excision of untouchable breast tumor and the amount of excision tissue

作　　者：朱涛 徐洁[2] 田甜 程尧 ZHU Tao;XU Jie;TIAN Tian;CHENG Yao(Department of Breast and Nail Surgery,Jiaozuo People's Hospital,Jiaozuo,Henan,China,454000;Department of Oncology,Jiaozuo People's Hospital,Jiaozuo,Henan,China,454000)

机构地区：[1]焦作市人民医院乳甲外科,河南焦作454000 [2]焦作市人民医院肿瘤内科,河南焦作454000

出　　处：《分子诊断与治疗杂志》2023年第12期2083-2087,共5页Journal of Molecular Diagnostics and Therapy

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20191335)。

摘　　要：目的分析研究超声引导下不同标记法对不可触及乳腺肿物病灶切除准确率及切除组织量的影响。方法选取2020年1月至2020年12月在焦作市人民医院乳腺甲状腺外科确诊的100例存在不可触及乳腺肿物病灶(NBPL)患者作为研究对象,分为亚甲蓝组(n=50)和对照组(n=50),亚甲蓝组采用超声引导下亚甲蓝注射定位后手术切除,对照组采用超声体表标记定位后手术切除。比较两组的手术时间、术中出血量、切口直径和切除组织量;比较两组的切除病灶准确率和术后并发症发生率。结果亚甲蓝组的手术时间短于对照组、术中出血量少于对照组以及切口直径小于对照组,差异均具有统计学意义(t=11.080、6.281、7.169,均P<0.05)。亚甲蓝组切除组织量少于对照组,差异具有统计学意义(t=8.327,P<0.05)。亚甲蓝组切除病灶的准确率高于对照组,差异具有统计学意义(χ^(2)=5.005,P<0.05)。两组的术后并发症发生率比较差异无统计学意义(χ^(2)=0.842,P>0.05)。结论超声引导下,亚甲蓝标记切除不可触及乳腺肿物病灶的效果优于体表标记定位。Objective To analyze the influence of different ultrasound-guided labeling methods on the accuracy of excision and the amount of resected tissue of untouchable breast tumors.Methods A total of 100 patients with untouchable breast masses(NBPL)diagnosed in the Department of Breast and Thyroid Surgery of Jiaozuo People's Hospital from January 2020 to December 2020 were selected as the research objects and divided into the methylene blue group(n=50)and the control group(n=50).The methylene blue group was treated with ultrasound-guided methene-blue injection localization followed by surgical resection.The control group was excised by ultrasonic body surface labeling.Operation time,intraoperative blood loss,incision diameter and excised tissue volume were compared between the two groups.The accuracy rate of lesion resection and the incidence of postoperative complications were compared between the two groups.Results The operation time,intraoperative blood loss and incision diameter in the methylene blue group were shorter than those in the control group,and the differences were statistically significant(t=11.080,6.281,7.169,P<0.05).The amount of resected tissue in the methylene blue group was smaller than that in the control group,and the difference was statistically significant(t=8.327,P<0.05).The accuracy of lesion resection in the methylene blue group was higher than that in the control group,and the difference was statistically significant(χ^(2)=5.005,P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups(χ^(2)=0.842,P>0.05).Conclusion Ultrasound-guided methylene blue labeling was better than body surface labeling in the resection of untouchable breast tumors.

关 键 词：超声引导 不可触及乳腺肿物 亚甲蓝标记法 

分 类 号：R445.1[医药卫生—影像医学与核医学] R655.8[医药卫生—诊断学]