| 沈海滨,刘小金,吕昊,武宸仰.超声引导美兰染色切除不可触及乳腺病变的研究[J].浙江中西医结合杂志,2019,29(10): |
| 超声引导美兰染色切除不可触及乳腺病变的研究 |
| Study on Ultrasound-Guided Methylene Blue Staining Excision of Nonpalpable Breast Lesions |
| 投稿时间：2019-05-20 修订日期：2019-09-06 |
| DOI： |
| 中文关键词: 不可触及乳腺病变 乳腺 超声检查 美兰 |
| 英文关键词:: Nonpalpable breast lesions Breast Ultrasonography Methylene blue. |
| 基金项目:杭州市卫生计生委科技计划项目(项目编号2016A27) |
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| 中文摘要: |
| 目的:比较超声引导美兰染色手术方案相对于超声引导细针穿刺定位以及豪洛杰微创旋切手术方案切除不可触及乳腺病变(NPBL)的优势和不足,综合评估超声引导美兰染色切除NPBL的临床应用价值。方法：本研究将入组的120例NPBL患者分成三组,分别采用超声引导美兰染色(美兰组)、超声引导细针穿刺(定位针组)以及豪洛杰微创旋切(旋切组)手术方案进行手术治疗,统计各手术方式组的手术时间,出血量,切口长度,疼痛评分,术后并发症,住院费用,住院天数,肿块病理等数据结果,并在术后随访12个月,观察比较各组患者伤口愈合情况,有无局部残留、复发等情况。结果：相较于穿刺针定位和旋切术式,美兰染色手术法所用的手术时间更短、住院费用更低(P<0.001),术中出血较少,术中、术后疼痛均耐受,良性病例均当日出院,无切口感染、血肿等并发症发生,术后随访无复发,恶性病变病人无转移。结论：超声引导美兰染色切除不可触及乳腺病变的手术方式操作简单,手术时间短,住院费用低,近期及远期并发症少,对于基层医疗机构具有临床推广价值。 |
| 英文摘要: |
| Objective: Compare the strengths and weaknesses of ultrasound-guided methylene blue staining operation vs. the ultrasound-guided fine needle puncture location and Gen-Probe minimally invasive rotary varicotomy plan in excision of nonpalpable breast lesions (NPBL), and provide a comprehensive assessment of the clinical application value of ultrasound-guided methylene blue staining excision of NPBL. Methods: In this study, 120 enrolled patients with NPBL were divided into three groups, including ultrasound-guided methylene blue staining (methylene blue group), ultrasound guided fine needle puncture (location needle group), and Gen-Probe minimally invasive rotary varicotomy (rotary varicotomy group) for surgical treatment. The surgery time, blood loss, length of incision, pain score, postoperative complications, hospitalization expenses, length of hospital stay, pathology of the tumor and other data results were counted in each operation group, and postoperative follow up was performed for 12 months. Observe and compare the wound healing of each group of patients, local residual and recurrence. Result: Compared to the puncture needle location and rotary varicotomy, the methylene blue staining surgery method had shorter surgery time, lower hospitalization expenses, (P<0.001), less blood loss, and tolerated postoperative pain. Benign cases were discharged that day and did not suffer complications such as wound infection and hematoma. No recurrence was found after follow-up, and there was no metastasis in patients with malignant lesions. Conclusion: Ultrasound-guided methylene blue staining excision of nonpalpable breast lesions is characterized by simple operation, short surgery time, low hospitalization expenses, and few short-term and long-term complications, showing clinical promotion value for primary medical institutions. |
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