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目的:探讨高频彩超对不可触及的乳腺病变实施引导下导丝定位乳腺切除术的临床效果。方法:对54例患者超声检查发现的64个不可触及的乳腺病变(nonpalpable breast lesion,NPBL)采用高频超声引导下置入定位导丝后进行手术切除。结果:定位准确率100%,64个病灶均被准确切除,其中恶性7个均为早期乳腺癌,良性57个。结论:超声引导下术前导丝定位对触诊阴性的乳腺病变的切除准确可靠,操作安全方便,是发现早期乳腺癌的一条途径,具有实用意义。
Objective: To investigate the clinical effect of high-frequency color Doppler ultrasonography in the treatment of non-palpable breast lesions guided by guide wire guided mastectomy. Methods: Sixty-four nonpalpable breast lesions (NPBLs) detected by ultrasonography in 54 patients underwent surgical excision with high-frequency ultrasound guided positioning guide wire. Results: The accuracy of localization was 100%. All 64 lesions were accurately resected. Among them, 7 were malignant breast cancer and 57 were benign. Conclusion: The preoperative guide wire positioning guided by ultrasound is accurate and reliable for excision of palpation-negative breast lesions. It is safe and convenient to operate and is a way to find early breast cancer with practical significance.