中国当代医药2025，Vol.32Issue(5)：84-87,4.DOI:10.3969/j.issn.1674-4721.2025.05.18
超声置针定位与麦默通手术在临床触诊阴性但超声可见乳腺结节中的应用与分析
Application and analysis of ultrasound-guided needle placement and Mammotome-assisted surgery in breast nodule impalpable but recognis-able by ultrasound
摘要
Abstract
Objective To explore the effect of ultrasound-guided needle placement and Mammotome-assisted surgery in patients with breast nodule impalpable but recognisable by ultrasound.Methods A total of 72 patients who had breast nod-ule impalpable but recognisable by ultrasound and were admitted to the Second People's Hospital of Jingdezhen from January 2023 to May 2024 were selected as the research subjects.According to the random number table method,they were divided into control group(24 cases),ultrasound-guided needle placement group(24 cases)and Mammotome group(24 cases).The control group underwent surgery after surface marking and positioning using ultrasound.The ultrasound-guided needle placement group underwent surgery after ultrasound-guided needle placement,and Mammotome group underwent ultrasound-guided Mammotome minimally invasive rotary cutting.The perioperative indicators and surgery cost,satisfaction with breast appearance and the incidence of postoperative complications were compared among the three groups.Re-sults The surgery time and length of incision of the ultrasound-guided needle placement group and Mammotome group were shorter than those of the control group,and the intraoperative blood loss of the ultrasound-guided needle placement group and Mammotome group were less than those of the control group,with statistically significant differences(P＜0.05).The in-cision of Mammotome group was shorter than that of the ultrasound-guided needle placement group,and surgery cost was higher than that of the control group and the ultrasound-guided needle placement group,with statistically significant differences(P＜0.05).The satisfaction of breast appear-ance in the ultrasound-guided needle placement group and Mammotome group were higher than that in the control group,and the differences were statistically significant(P＜0.05).There was no significant difference in the total incidence of postoperative complications among the three groups(P＞0.05).Conclusion For patients with breast nodules impalpable but recognisable by ultrasound,ultrasound-guided needle place-ment and Mammotome-assisted surgery can shorten surgery time and length of incision,reduce intraoperative blood loss and improve patients'satisfaction with breast appearance.In particular,the length of incision caused by Mammotome-assisted surgery is shorter,but its cost is higher.Clinically,suitable surgical method can be chosen according to the patient's needs.关键词
乳腺结节/超声引导/体表定位/置针定位/麦默通手术Key words
Breast nodule/Ultrasound-guided/Surface positioning/Needle positioning/Mammotome-assisted surgery分类
医药卫生引用本文复制引用
甘家兵,姜丽琴,余丽娜..超声置针定位与麦默通手术在临床触诊阴性但超声可见乳腺结节中的应用与分析[J].中国当代医药,2025,32(5):84-87,4.基金项目
江西省卫生健康委科技计划项目(202311662). （202311662）
