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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。
OBJECTIVE: To evaluate the efficacy of ABVS in the detection of mammary gland hyperplasia nodules by two-dimensional color Doppler ultrasound before automatic mammary gland volume imaging (ABVS). Methods: From January 2014 to December 2015, the Fourth Hospital of Shijiazhuang City was selected. Malmo-passivated osteotomy (MMT) was performed on 212 patients with hyperplastic nodules less than 1 cm in two-dimensional radiography. Malignant neoplasm Trend scores, and then compare the effect of pre-operative ABVS positioning treatment plan and the effect of MMT surgery guided by simple two-dimensional ultrasound. Results: After the treatment of MMV with ABVS, the incidence of complications was significantly lower than that of MMT under the guidance of simple color Doppler ultrasound, but there was no significant difference (P> 0.05). After ABVS score was compared with pathological findings The coincidence rate was higher than the simple two-dimensional color Doppler ultrasound coincidence rate, with statistical significance (P <0.05). CONCLUSIONS: ABVS score and location before MMT of <1cm hyperplastic nodules can reduce the complication rate, improve the consistency with the pathological findings and guide the implementation of the surgical regimen.