Bouton Marcia E, Wilhelmson Krista L, Komenaka Ian K
Department of Surgery, Maricopa Medical Center, Phoenix, Arizona, USA.
Am Surg. 2011 May;77(5):640-6.
Wire guided breast procedures are the most commonly used breast conserving operation for nonpalpable cancers. We did a retrospective review of all patients who underwent the wire guided breast procedure at a county hospital with an associated surgical residency program. Twenty-eight patients underwent the procedure with intraoperative ultrasound from June 2009 to March 2010. Breast cancer patients who underwent a wire-guided lumpectomy with intraoperative ultrasound had a lower rate of positive margins (9% vs. 26%, P = 0.28) and a smaller volume of tissue removed (126 cm3 vs. 146 cm3, P = 0.57). For wire guided excisional biopsy, the volume of tissue removed was smaller in the intraoperative ultrasound group (30 cm3 vs. 44 cm3, P = 0.17) and the targeted area was more likely to be removed in one specimen (1.1 vs. 1.5, P = 0.03). Intraoperative ultrasound can improve surgical outcomes of the wire guided breast procedure.
金属丝引导下的乳房手术是针对不可触及的癌症最常用的保乳手术。我们对一家设有外科住院医师培训项目的县级医院中所有接受金属丝引导下乳房手术的患者进行了回顾性研究。2009年6月至2010年3月期间，28例患者在术中超声引导下接受了该手术。接受术中超声引导下金属丝引导乳房肿块切除术的乳腺癌患者切缘阳性率较低（9%对26%，P = 0.28），切除的组织体积较小（126 cm³对146 cm³，P = 0.57）。对于金属丝引导下的切除活检，术中超声组切除的组织体积较小（30 cm³对44 cm³，P = 0.17），且目标区域更有可能在一个标本中被切除（1.1对1.5，P = 0.03）。术中超声可改善金属丝引导下乳房手术的手术效果。
