Mammotome微创旋切系统在乳腺病灶切除中的应用  

Application of ultrasound guided Mammotome minimally invasive biopsy system in the excision for breast lesions

作　　者：莫可良[1,2] 李卓容[1,2] 邓海萍[1,2] 覃贵铭[1,2] 滕慧[1,2] 何志娟[1,2] 

机构地区：[1]广西医科大学第四附属医院 [2]柳州市工人医院乳腺中心,广西柳州545005

出　　处：《中华肿瘤防治杂志》2010年第20期1672-1673,共2页Chinese Journal of Cancer Prevention and Treatment

摘　　要：为了探讨麦默通(Mammotome)微创旋切系统在乳腺病灶切除中的价值及手术技巧,对412例751个乳腺病灶在超声引导下进行了Mammotome乳腺微创旋切术。结果显示,751个乳腺病灶被切除,手术成功率100.0%。病理结果乳腺癌8例,7例行乳腺癌根治术,1例行保留乳房术,其中3例病理组织中未见有癌细胞残留。良性疾病404例,其中不典型增生5例;纤维腺瘤340例;导管内乳头状瘤11例;乳腺腺病及增生症36例;其他12例。术后乳房上仅留有0.5～1.0cm微小瘢痕。发生局部血肿35例,皮下淤血14例,无感染及其他并发症。3～6个月B超复查均未见复发。初步研究结果提示,Mammotome乳腺病灶微创手术是一种定位准确、损伤小、恢复快,几无手术瘢痕的一种新型手术方式,尤其适合多发性乳腺肿块及隐匿性肿块的切除。The objective of this study was to explore the significance and technique of the application of ultrasound guided Mammotome minimally invasive biopsy system in the excision for breast lesions.A total number of 412 patients with 751 lesions undertook the excision with ultrasound guided Mammotome minimally invasive biopsy system.All the 751 lesions were removed with 100.0% success rate.The pathological results showed breast cancer in 8 cases.Seven of them received radical correction for breast cancer and another one undertook breast-conserving surgery.Three out of the eight cases showed no cancer cell residuals in the pathology.Out of the 412 cases,404 were benign,including 5 with atypical hyperplasia,340 with fibroadenoma,11 wtih intraductal papilloma,36 with hyperplasia and adenosis of breast and the rest 12 with other problems.Scars of 0.5-1.0 cm were formed after the excision.Thrity-five cases showed local hematoma,and 14 occurred subcutaneous congestion.No infection or other complication occurred after the excision.No relapse was found in ultrasonic examination 3-6 months after the excision.The primary study suggests that ultrasound guided Mammotome minimally invasive biopsy system can make accurate location and cause little scars with quick recovery,which is especially suitable for excision of multiple breast mass and non-palpable breast mass.

关 键 词：乳腺肿瘤/外科学 外科手术 微创性 活组织检查 针吸 

分 类 号：R737.9[医药卫生—肿瘤]