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术中超声引导下切除不可触及的乳腺病变。

Intraoperative ultrasonography-guided excision of nonpalpable breast lesions.

机构信息

Breast and Endocrine Surgery Unit, University of Queensland, Princess Alexandra Hospital, 199 Ipswich Road Wooloongabba, Brisbane, QLD, 4102, Australia.

出版信息

World J Surg. 2011 Aug;35(8):1835-9. doi: 10.1007/s00268-011-1082-y.

DOI:10.1007/s00268-011-1082-y
PMID:21472369
Abstract

BACKGROUND

The use of intraoperative ultrasonography (US) to localize and guide excision of nonpalpable breast lesions has advantages over other techniques. It avoids the need for additional resources and minimizes patient morbidity.

METHODS AND RESULTS

The technique of surgeon-performed US-guided excision as described in this report is straightforward and safe, easily reproducible, and suitable for teaching.

CONCLUSIONS

The US-guided breast excision technique is predictable and accurate, minimizes costs, and is advocated as an appropriate method for US-visible lesions requiring surgical excision. With appropriate training, breast surgeons can easily acquire the necessary skills to incorporate the use of US in their surgical practice.

摘要

背景

术中超声(US)用于定位和引导切除触诊阴性的乳腺病变具有优于其他技术的优势。它避免了额外资源的需求,最大限度地减少了患者的发病率。

方法和结果

本报告中描述的术者操作超声引导下切除技术简单、安全、易于复制,适合教学。

结论

超声引导下的乳腺切除技术具有可预测性和准确性,可降低成本,被推荐为需要手术切除的超声可见病变的合适方法。经过适当的培训,乳腺外科医生可以轻松掌握在手术实践中使用 US 的必要技能。

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引用本文的文献

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Ultrasound-guided preoperative localization of breast lesions: a good choice.超声引导下乳腺病变的术前定位:一个不错的选择。
J Ultrasound. 2019 Mar;22(1):85-94. doi: 10.1007/s40477-018-0335-0. Epub 2018 Oct 26.

本文引用的文献

1
Structured ultrasonography workshop for breast surgeons: is it an effective training tool?乳腺外科医生的结构化超声工作坊:它是一种有效的培训工具吗?
World J Surg. 2010 Mar;34(3):549-54. doi: 10.1007/s00268-009-0342-6.
2
A novel ultrasound-guided electrosurgical loop device for intra-operative excision of breast lesions; an improvement in surgical technique.一种用于术中切除乳腺病变的新型超声引导电外科环形装置;手术技术的改进。
Am J Surg. 2009 Aug;198(2):283-6. doi: 10.1016/j.amjsurg.2009.01.026.
3
Intraoperative ultrasound in excision of breast nonpalpable lesions: the experience of the breast unit of San Giovanni Hospital in Rome.
术中超声在乳腺不可触及病灶切除术中的应用:罗马圣乔瓦尼医院乳腺科的经验
Breast J. 2009 Sep-Oct;15(5):546-8. doi: 10.1111/j.1524-4741.2009.00781.x. Epub 2009 Jul 7.
4
Intraoperative ultrasound versus mammographic needle localization for ductal carcinoma in situ.术中超声与乳腺X线引导下针定位用于导管原位癌的比较
Ann Surg Oncol. 2009 May;16(5):1164-9. doi: 10.1245/s10434-009-0388-6. Epub 2009 Mar 7.
5
Intraoperative ultrasound is an effective and preferable technique to localize non-palpable breast tumors.术中超声是一种用于定位不可触及乳腺肿瘤的有效且首选的技术。
Eur J Surg Oncol. 2008 Dec;34(12):1289-92. doi: 10.1016/j.ejso.2007.11.011. Epub 2008 Jan 14.
6
Intraoperative ultrasound localization of nonpalpable breast cancers.不可触及乳腺癌的术中超声定位
Ann Surg Oncol. 2007 Sep;14(9):2485-9. doi: 10.1245/s10434-007-9420-x. Epub 2007 May 31.
7
Use of ultrasound in breast surgery.超声在乳腺手术中的应用。
Surg Clin North Am. 2007 Apr;87(2):469-84, x. doi: 10.1016/j.suc.2007.02.002.
8
Breast intraoperative ultrasound: prospective study in 112 patients with impalpable lesions.乳腺术中超声:112例不可触及病变患者的前瞻性研究。
ANZ J Surg. 2005 Mar;75(3):124-7. doi: 10.1111/j.1445-2197.2005.03309.x.
9
Intraoperative ultrasound-guided excision of nonpalpable breast lesions.术中超声引导下不可触及乳腺病变的切除
World J Surg. 2005 Mar;29(3):369-74. doi: 10.1007/s00268-004-7554-6.
10
Updates in breast ultrasound.乳腺超声的进展
Surg Clin North Am. 2004 Aug;84(4):1001-34, v-vi. doi: 10.1016/j.suc.2004.05.004.