超声引导下微创旋切术治疗乳腺良性肿物  

Ultrasound guided excision of breast benign disease

作　　者：张永成[1] 杨焰[2] 严冬梅[2] 

机构地区：[1]广东药学院附属第一医院乳腺科,广东510080 [2]广东药学院附属第一医院B超室

出　　处：《中华内分泌外科杂志》2009年第4期243-244,共2页Chinese Journal of Endocrine Surgery

摘　　要：目的探讨微创旋切术在乳腺良性肿物切除中的临床应用。方法B超引导下应用Mammotome（麦默通）或VACORA（万可）系统对74例204处乳房良性肿物施行微创旋切术，评价其治疗效果。结果74例204处乳腺肿物经微创旋切术后获得明确病理诊断，108处肿物为纤维腺瘤，66处肿物为乳腺囊性增生，30处肿物为乳腺腺病，术后随访3～12个月。术后发生局部血肿2例（2．7％），皮下淤血斑5例（6．7％），肿物复发1例（1．4％），无1例感染。结论超声引导下微创旋切术治疗乳腺良性肿物具有定位准确、创伤小、出血少、易操作、并发症少及术后美观的优点，是对传统开放手术方式的良好补充和发展。Objective To investigate the value of minimal invasion technique in treatment of breast benign disease. Methods 204 benign breast tumors of 74 women were completely excised by using Mammotome or VACORA. Results 108 masses were confirmed fibroadenoma, 66 fibroadenosis, 30 adenosis of breast. Postoperative followed up 3 ~ 12 months： there were 2 cases of local hematoma, 5 cases of subcutaneously hematoma, 1 case of recurrence, no infection. Conclusions There are many advantages using ultrasound-guided minimal in- vasion technique to treat benign breast disease, including accurate localization, minimal invasion, less bleeding, easy performation,less complications and good cosmetology.

关 键 词：乳腺良性肿物 微创旋切术 B超引导 

分 类 号：R737[医药卫生—肿瘤]