邹强,王红鹰,任长才,凌龙生,顾斐,华秀云,戴训如,秦茜淼,陈伟明,杨宝年.超声引导穿刺在普通外科中的应用[J].中国医学影像技术,2000,16(3):0246~248
超声引导穿刺在普通外科中的应用
The Appl ication of Ultrasound Guided Puncture in the Field of General Surgery
投稿时间:1999-12-30  
DOI:
中文关键词:  乳腺隐匿性病灶  乳腺囊肿  腹腔脓肿  超声定位
英文关键词:Nonpalpable lesion of breast  Breast cyst  Abdominal abscess  Localization by ultrasound
基金项目:
作者单位
邹强 上海医科大学院附属华山医院外科, 上海200040 
王红鹰 上海医科大学院附属华山医院外科, 上海200040 
任长才 上海医科大学院附属华山医院外科, 上海200040 
凌龙生 上海医科大学院附属华山医院外科, 上海200040 
顾斐 上海医科大学院附属华山医院外科, 上海200040 
华秀云 B 超室 
戴训如 上海医科大学院附属华山医院外科, 上海200040 
秦茜淼 上海医科大学院附属华山医院外科, 上海200040 
陈伟明 上海医科大学院附属华山医院外科, 上海200040 
杨宝年 上海医科大学院附属华山医院外科, 上海200040 
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中文摘要:
      目的 探讨高频超声在乳腺隐匿性病灶检出、超声引导穿刺定位切除活检和乳腺囊肿穿刺治疗的应用 价值。同时介绍腹腔脓肿与积液的超声引导穿刺引流,超声引导PTCD。方法 1993 年至今共检出乳腺隐匿性病 灶250 处,并在超声引导下作穿刺定位病灶切除术。对30 处乳腺囊肿在超声引导下作穿刺治疗。5 例腹腔脓肿、积 液患者在超声引导下作穿刺引流。4 例梗阻性黄疸患者在超声引导下行PTCD。结果 高频超声对乳腺隐匿性肿 瘤诊断符合率为90 %。同时检出9 例隐匿性乳腺癌。5 例腹腔脓肿、积液患者4 例通过穿刺引流治愈。4 例PTCD 者3 例引流成功。结论 超声为乳腺隐匿性病灶的检出、手术定位和囊肿穿刺治疗提供了有效手段。腹腔积液或 脓肿超声下穿刺引流是一有效的非手术治疗,超声为PTCD 提供了又一有效的引导方法。
英文摘要:
      Objective To assess the value of high frequency ultrasound used in the inspection of breast nonpalpable lesion ,the excision and biopsy of the lesion and the puncture of the breast cyst guided by ultrasound. To introduce the punctured drainage of the abdominal abscess or liquid accumulation ,and the PTCD technique under the guiding of ultrasound. Methods Since 1993 ,under the guiding of ultrasound ,250 breast nonpalpable lesions have been inspected and then removed successfully ,30 breast cysts have been treated by puncture ,5 abdominal abscess or liquid accumulation have been punctured and drained ,4 cases of obstructed jaundice have been treated by PTCD. Results The diagnostic accuracy of the high frequency ultrasound on breast nonpalpable tumor is 90 %.By this way ,9 cases of breast cancer have been confirmed. 4 in 5 cases of abdominal abscess or liquid accumulation have been cured by punctured drainage. 3 in 4 cases under PTCD have been successfully drained. Conclusion Ultrasound may provide an effective method for the inspection of breast nonpalpable lesion ,the location of operation and the puncture of cyst . The drainage of abdominal abscess or liquid accumulation under ultrasound may become an effective nonoperative treatment . And ultrasound maybe another effective leading route for PTCD.
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