摘要
目的探讨触诊阴性乳腺结节在彩超定位下切除的临床价值。方法选取我科2016年1月至2018年6月具有完整资料的70例患者作为研究对象,在彩超定位下行触诊阴性乳房结节切除。结果70例触诊阴性乳腺结节均成功在彩超定位下切除,诊断明确,无术后并发症。术后常规病理报告乳腺增生伴纤维腺瘤形成趋势29例,纤维腺瘤32例,积乳囊肿2例,导管内乳头状瘤5例,粘液腺癌1例,浸润性导管癌1例。1例粘液腺癌行单纯乳房切除+前哨淋巴结活检术,1例浸润性导管癌行乳腺癌改良根治术。术后彩超随访3个月均未再次手术。结论临床触诊阴性乳腺结节在彩超定位下行切除,操作简便,易于掌握,成功率高,适合各级医院开展。
Objective to explore clinical value of palpation negative breast nodule resection under positioning of color Doppler ultrasound.Methods choose complete data of 70 patients in our department from January 2016 to June 2018 as study objects,carry on palpation negative breast nodule resection under color Doppler ultrasound positioning.Results palpation negative breast nodules of 70 cases were successfully resected under positioning of color Doppler ultrasound,with clear diagnosis and no postoperative complications.Postoperative routine pathological report showed 29 cases breast hyperplasia with fibroadenoma trend,32 cases of fibroadenoma,2 cases of galactocele,5 cases of intraductal papilloma,1 case of mucinous adenocarcinoma and 1 case of invasive ductal carcinoma,1 case of mucinous adenocarcinoma underwent simple mastectomy and sentinel lymph node biopsy,and 1 case of invasive ductal carcinoma with modified radical mastectomy.After 3 months follow-up,no reoperation was carried out.Conclusion clinical palpation negative breast nodule resection is easy to operate and master under positioning of color Doppler ultrasound with high success rate,which is suitable for hospitals at all levels.
作者
王健
潘敏
WANG Jian;PAN Min(General Surgery Department No.2,Xiajin County People’s Hospital of Shandong,Dezhou,Shandong,253000)
出处
《智慧健康》
2019年第36期9-10,共2页
Smart Healthcare
关键词
触诊阴性
乳腺结节
彩超定位
Palpation negative
Breast nodule
Color ultrasound positioning
