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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
胡祖健1, 徐海滨1, 何俊玲1, 苏昆仑1, 罗华1, 杜芳1, 王晓晨2
1.杭州市中医院;2.浙江大学医学院附属第二医院
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。
关键词:  术中超声  钼靶  不可触及乳腺钙化病灶
DOI：
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基金项目:浙江省医学会临床科研基金
Clinical value of localization by combined mammography and intraoperative ultrasonography in resection of non-palpable breast calcification
HU Zhujian,XU Haibin,HE Junling,SU Kunlun,LUO Hua,DU Fang,WANG Xiaochen
Hangzhou Traditional Chinese Medicial Hospital
Abstract:
Objective To assess the clinical value of localization by combined mammography and intraoperative ultrasound in resection of non-palpable breast calcification (NPBC). Methods One hundred and thirty five patients with NPBC undergoing surgical resection were randomly divided into mammography wire-guided localization group (MWG, n=60) and combined wire and intraoperative ultrasonography group(CWUG, n=75). The operation time, weight of resected samples and the satisfactory 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, respectively(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 satisfactory rates in MWG and CWUG were 55.0%(33/60) and 92.0%(69/75) respectively(P＜0.05). Conclusion Combination of intraoperativeultrasonography and mammography localization has advantages for resection of NPBC.
Key words:  Intraoperative ultrasound  Mammography  Nonpalpable breast calcification