岭南现代临床外科2024，Vol.24Issue(6)：366-370,5.DOI:10.3969/j.issn.1009-976X.2024.06.005
超声引导下乳腺钙化微创活检与开放活检的对比研究
Comparison study of ultrasound-guided vacuum-assisted biopsy and open surgical biopsy for breast calcifications
摘要
Abstract
Objective To explore the advantages and disadvantages of high-frequency ultrasound-guided vacuum-assisted biopsy versus open surgical biopsy for breast calcifications.Methods A retro-spective study analysis was conducted on the clinical and pathological data of 161 breast calcification cases(154 patients,including 7 cases of bilateral sides).Based on the surgical approach,patients were divided into two groups:the vacuum-assisted biopsy group(93 cases with 97 lesions)and the open surgical biopsy group(61 cases with 64 lesions).The vacuum-assisted group underwent vacuum-assisted stereotac-tic biopsy under high-frequency ultrasound guidance to remove the calcifications,while the open surgical biopsy group underwent traditional open surgical excisional biopsy.All specimens of the margins were subjected to intraoperative radiography and pathological examination.The two groups were compared in terms of success rate of single-attempt biopsy for target calcifications,incision size,postoperative infection rate,hospital stay,and hospitalization costs.Results The incision size in the vacuum-assisted biopsy group was 0.31±0.03 cm,while in the open surgical biopsy group,it was 4.15±0.72 cm,showing a statistically significant difference(P<0.01).The success rate of single-attempt biopsy for target calci-fications was 96.91%in the vacuum-assisted group and 96.88%in the open surgical biopsy group,with no statistically significant difference(P>0.05).The postoperative infection rate was 0%in both groups.Among patients with benign pathology result,length of the hospital stay in the vacuum-assisted group was 2.20±1.30 days,compared to 5.80±1.97 days in the open surgical biopsy group,showing a statisti-cally significant difference(P<0.05).The hospitalization costs for patients with benign pathology result were 9303.87±4328.08 CNY in the vacuum-assisted group and 12 614.5±4055.85 CNY in the open surgical biopsy group,with a statistically significant difference(P<0.001).Conclusion Both vacuum-assisted biopsy under high-frequency ultrasound guidance and traditional open surgical biopsy to remove target breast calcifications are safe and effective methods.Vacuum-assisted biopsy offers advantages of smaller incision size,shorter hospital stays,and lower hospitalization costs.关键词
乳腺/钙化/微创/住院时间/住院费用Key words
breast/calcifications/vacuum-Assisted biopsy/hospital stays/hospitalization costs分类
医药卫生引用本文复制引用
罗懿忠,王永南,余海云,邹素文,杨剑敏..超声引导下乳腺钙化微创活检与开放活检的对比研究[J].岭南现代临床外科,2024,24(6):366-370,5.基金项目
广东省医学科研基金(A2021063) （A2021063）
