超声置针定位与麦默通手术在临床触诊阴性但超声可见乳腺结节中的应用与分析  

Application and analysis of ultrasound-guided needle placement and Mammotome-assisted surgery in breast nodule impalpable but recognisable by ultrasound

作　　者：甘家兵 姜丽琴 余丽娜 GAN Jiabing;JIANG Liqin;YU Lina(Department of General Surgery,the Second People's Hospital of Jingdezhen,Jiangxi Province,Jingdezhen333000,China;Department of Laboratory Medicine,the Second People's Hospital of Jingdezhen,Jiangxi Province,Jingdezhen333000,China)

机构地区：[1]江西省景德镇市第二人民医院普外科,江西景德镇333000 [2]江西省景德镇市第二人民医院检验科,江西景德镇333000

出　　处：《中国当代医药》2025年第5期84-87,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202311662)。

摘　　要：目的探究对临床触诊阴性但超声可见的乳腺结节患者应用超声置针定位手术与麦默通手术的效果。方法选取2023年1月至2024年5月景德镇市第二人民医院收治的72例临床触诊阴性但超声可见的乳腺结节患者为研究对象,按照随机数字表法分为对照组(24例)、超声置针定位组(24例)与麦默通组(24例)。对照组采用超声体表标记定位后手术,超声置针定位组采用超声引导下放置定位针后手术,麦默通组采用超声引导下麦默通微创旋切手术。比较三组的围手术期指标和手术费用、乳房外观满意度、术后并发症发生情况。结果超声置针定位组、麦默通组的手术时间与切口长度短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05);麦默通组切口长度短于超声置针定位组,但手术费用高于对照组与超声置针定位组,差异有统计学意义(P<0.05)。超声置针定位组、麦默通组乳房外观满意度均高于对照组,差异有统计学意义(P<0.05)。三组术后的并发症总发生率比较,差异无统计学意义(P>0.05)。结论对于临床触诊阴性但超声可见的乳腺结节患者,应用超声置针定位手术与麦默通手术可缩短手术时间与切口长度,减少术中出血量,提高患者乳房外观满意度,尤其麦默通手术组切口长度更短,但手术费用更高,临床可根据患者需求选择合适的手术方式。Objective To explore the effect of ultrasound-guided needle placement and Mammotome-assisted surgery in patients with breast nodule impalpable but recognisable by ultrasound.Methods A total of 72 patients who had breast nodule impalpable but recognisable by ultrasound and were admitted to the Second People's Hospital of Jingdezhen from January 2023 to May 2024 were selected as the research subjects.According to the random number table method,they were divided into control group(24 cases),ultrasound-guided needle placement group(24 cases)and Mammotome group(24 cases).The control group underwent surgery after surface marking and positioning using ultrasound.The ultrasound-guided needle placement group underwent surgery after ultrasound-guided needle placement,and Mammotome group underwent ultrasound-guided Mammotome minimally invasive rotary cutting.The perioperative indicators and surgery cost,satisfaction with breast appearance and the incidence of postoperative complications were compared among the three groups.Results The surgery time and length of incision of the ultrasound-guided needle placement group and Mammotome group were shorter than those of the control group,and the intraoperative blood loss of the ultrasound-guided needle placement group and Mammotome group were less than those of the control group,with statistically significant differences(P<0.05).The incision of Mammotome group was shorter than that of the ultrasound-guided needle placement group,and surgery cost was higher than that of the control group and the ultrasound-guided needle placement group,with statistically significant differences(P<0.05).The satisfaction of breast appearance in the ultrasound-guided needle placement group and Mammotome group were higher than that in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of postoperative complications among the three groups(P>0.05).Conclusion For patients with breast nodules impalpable but recognisable by

关 键 词：乳腺结节 超声引导 体表定位 置针定位 麦默通手术 

分 类 号：R737.9[医药卫生—肿瘤]