术前超声下导丝定位切除乳腺触诊阴性病变的价值

目的 探讨术前超声下导丝定位在切除乳腺触诊阴性病变（NPBL）的价值。方法 选取上海市奉贤区中心医院超声医学科140例行乳腺检查的女性患者进行回顾性分析，根据术前病变定位方法分为导丝定位组70例和常规定位组70例，导丝定位组在术前进行超声导丝定位肿物，常规定位组采用术中超声定位或者体表标记法定位肿物，手术后比较两组患者的手术切除用时和患者满意度。结果 导丝定位组术前超声下导丝定位肿物共76个，术后超声随访显示病灶均已切除，未发现病灶残留。两组NPBL患者手术切除用时比较，导丝定位组手术时间明显小于常规定位组，差异有统计学意义（t=19.637，P=0.000）。两组NPBL患者满意度比较，导丝定位组满意度明显大于常规定位组，差异有统计学意义（t=9.591，P=0.000）。结论 对于切除NPBL的治疗，术前超声引导下导丝定位，在准确地切除病灶、缩短手术时间、提高患者满意度方面效果显著。

Value of Preoperative Ultrasound Guided Positioning for Breast Palpation Negative Lesions

Objective To explore the value of preoperative ultrasound guided positioning for breast palpation negative lesions. Methods One hundred and forty patients who underwent breast examination of women chose in Shanghai fengxian ultrasonic medicine center hospital were retrospectively analyzed. According to preoperative lesion location methods they were divided into the ultrasound guided positioning group of seventy cases and the conventional group of seventy cases. The mass in the ultrasound guided positioning group were located by the preoperative ultrasound guided positioning, and the mass in the conventional group were located intraoperative ultrasound localization or surface notation. The results of operation time and patients satisfaction after surgery in two groups were compared. Results Seventy-six masses were located in the ultrasound guided positioning group with preoperative ultrasound guided positioning. Postoperative follow-up ultrasound showed lesions have been removed, found no residual lesions. Patients with two groups of NPBL operation time compared, operation time in the guided positioning group was obviously less than that in the conventional positioning group. Difference was statistically significant (t=19.637,P=0.000). Compared two groups of patient satisfaction NPBL, thread positioning satisfaction was significantly greater than that in the conventional positioning group. Difference was statistically significant (t=9.591, P=0.000). Conclusion Treatment of excision of NPBL by preoperative ultrasound guided positioning could accurate resection of lesions, shorten the operation time and improve patient satisfaction.