国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2012年
11期
763-765
,共3页
乳腺疾病%超声检查%活组织检查,针吸
乳腺疾病%超聲檢查%活組織檢查,針吸
유선질병%초성검사%활조직검사,침흡
Breast diseases%Ultrasonography%Biopsy,needle
目的 探讨隐匿性乳腺病灶手术活检的临床意义,确定超声定位下隐匿性乳腺病灶精准切除的操作方法,提高乳腺癌的早期诊断率.方法 44例患者的48例隐匿性乳腺病灶,在超声引导下采用定位针与体表标记相结合的方法定位,按照固定的步骤进行开放手术切除.结果 通过病理诊断证实病灶全部被准确切除,未发生定位针断裂、脱出等情况,术后乳房外形均未发生变化,未发生乳头乳晕坏死的并发症.病理结果:浸润性导管癌(Ⅰ期)4例,占8.3％；乳腺非典型增生15例,占31.3％；其余为乳腺腺病、乳管内乳头状瘤、乳腺纤维腺瘤、乳腺导管扩张症等良性病变.结论 超声定位下隐匿性乳腺病灶的精准切除是安全有效的检查和治疗方法,需要一定的手术技巧,在提高乳腺癌的早期诊断率、降低乳腺癌的发病率、降低医疗成本、减少乳腺活检手术的并发症等方面都具有积极的意义.
目的 探討隱匿性乳腺病竈手術活檢的臨床意義,確定超聲定位下隱匿性乳腺病竈精準切除的操作方法,提高乳腺癌的早期診斷率.方法 44例患者的48例隱匿性乳腺病竈,在超聲引導下採用定位針與體錶標記相結閤的方法定位,按照固定的步驟進行開放手術切除.結果 通過病理診斷證實病竈全部被準確切除,未髮生定位針斷裂、脫齣等情況,術後乳房外形均未髮生變化,未髮生乳頭乳暈壞死的併髮癥.病理結果:浸潤性導管癌(Ⅰ期)4例,佔8.3％；乳腺非典型增生15例,佔31.3％；其餘為乳腺腺病、乳管內乳頭狀瘤、乳腺纖維腺瘤、乳腺導管擴張癥等良性病變.結論 超聲定位下隱匿性乳腺病竈的精準切除是安全有效的檢查和治療方法,需要一定的手術技巧,在提高乳腺癌的早期診斷率、降低乳腺癌的髮病率、降低醫療成本、減少乳腺活檢手術的併髮癥等方麵都具有積極的意義.
목적 탐토은닉성유선병조수술활검적림상의의,학정초성정위하은닉성유선병조정준절제적조작방법,제고유선암적조기진단솔.방법 44례환자적48례은닉성유선병조,재초성인도하채용정위침여체표표기상결합적방법정위,안조고정적보취진행개방수술절제.결과 통과병리진단증실병조전부피준학절제,미발생정위침단렬、탈출등정황,술후유방외형균미발생변화,미발생유두유훈배사적병발증.병리결과:침윤성도관암(Ⅰ기)4례,점8.3％；유선비전형증생15례,점31.3％；기여위유선선병、유관내유두상류、유선섬유선류、유선도관확장증등량성병변.결론 초성정위하은닉성유선병조적정준절제시안전유효적검사화치료방법,수요일정적수술기교,재제고유선암적조기진단솔、강저유선암적발병솔、강저의료성본、감소유선활검수술적병발증등방면도구유적겁적의의.
Objective To explore the clinical significance of occult breast lesions biopsy,determine the operating methods of ultrasound-guided precisie resection of occult breast lesions,improve early diagnosis rate of breast cancer.Methods Forty-eight occult breast lesions of 44 patients were reviewed by localization-needle and skin markers method under ultrasound-guided,and the lesions were removed surgically according to the fixed steps.Results It was confirmed that all the impalpable mammary masses were exactly excised without localization-needle fracture or prolapse through postoperative pathological diagnosis.Breast appearance had no change after the operation.No nipple-areola necrosis occurred.The pathology results showed 4 cases of invasive ductal carcinoma (Ⅰ stage),the incidence rate being 8.3％,and 15 cases of atypical hyperplasia,the incidence rate being 31.3％.The other types were benign disease such as adenosis,intraductal papilloma,fibroadenoma and mammary duct ectasia.Conclusions Ultrasound-guided precise resection of occult breast lesions is a safe and effective diagnosis and treatment method,which needs some surgical skills.It has positive significance in improving breast cancer early diagnosis rate,reducing medical costs and decreasing breast biopsies complications.
