ABVS对<1cm乳腺增生结节行MMT治疗的指导价值

doi:10.3969/j.issn.1006-6233.2017.04.006

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摘要 目的: 通过对二维彩超发现<1cm乳腺增生结节先进行自动全乳腺容积成像(ABVS)评分,再制订彩超引导下麦默通切除方案,观察经过ABVS干预后的效果。方法: 选取石家庄市第四医院2014年1月至2015年12月对二维彩超发现<1cm乳腺增生结节的212例患者进行麦默通真空旋切手术(MMT),先进行增生结节恶性趋势评分,然后比较手术前进行ABVS定位后制订治疗方案的效果与单纯二维彩超引导下进行MMT手术的效果。结果: ABVS定位后制订治疗方案进行MMT手术,其并发症发生率明显低于单纯二维彩超引导下进行MMT手术,但无统计学差异(P>0.05);ABVS评分后切除结节与病理结果的符合率高于单纯二维彩超符合率,有统计学差异(P<0.05)。结论: 对<1cm乳腺增生结节进行MMT治疗前,先进行ABVS评分和定位,能减少并发症发生率,可提高与病理结果的一致性,指导手术方案的实施。

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关键词 ： ABVS, 二维彩超, 评分, MMT

Abstract：Objective: To observe the intervention effect of ABVS for hyperplasia of less than 1cm breast nodules with the first automated breast volume imaging (ABVS) score, and then developing ultrasound guided mammotome excision scheme. Methods: 212 cases of patients were diagonosed less than 1cm nodular hyperplasia with two-dimensional ultrasound in the fourth hospital of Shijiazhuang from January 2014 to 2015 December. All the patients underwent mammotome vacuum biopsy surgery (MMT) received nodular hyperplasia of malignant tendency score firstly, then were compared the effect of the treatment of ABVS positioning before surgery and the effect of MMT operation under the guidance of simple two-dimensional color doppler ultrasound. Results: After the treatment of ABVS MMT surgery, the complication rate was obviously lower than that of two-dimensional ultrasound guided MMT surgery, but the difference was not statistically significant (P>0.05); with ABVS score after resection of nodules and pathological results was higher than that of simple two-dimensional ultrasound coincidence rate, there were significant differences (P<0.05). Conclusion: Before the MMT treatment of hyperplasia of mammary glands less than 1cm, the ABVS score and localization were performed, which can reduce the incidence of complications, improve the consistency with pathological results, and guide the implementation of the operation plan.

Key words： ABVS Two-dimensional color doppler ultrasound Score MMT

基金资助:河北省卫生和计划生育委员会2015医学重点研究课题,(编号:20150888)

通讯作者: 王娟

引用本文:

王全乐, 赵海军, 王娟, 么安亮, 赵建忠, 周春光, 高亚克, 叶学奎, 尹丽娜. ABVS对<1cm乳腺增生结节行MMT治疗的指导价值[J]. 河北医学, 2017, 23(4): 547-549.
WANG Quanle, ZHAO Haijun, et al. Value of ABVS in the Treatment of Less than 1cm Breast Hyperplasia Nodules by MMT. 河北医学, 2017, 23(4): 547-549.

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http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2017.04.006 或 http://www.hbyxzzs.cn/CN/Y2017/V23/I4/547