超声引导下Mammotome微创旋切系统在乳腺良性肿块切除中的应用  

Application value of the ultrasound-guided Mammotome device in the treatment of benign breast mass

作　　者：武晨[1] 徐振花[1] 黄选东[1] 

机构地区：[1]淮安市第二人民医院乳腺中心,江苏淮安223001

出　　处：《东南大学学报（医学版）》2011年第2期365-367,共3页Journal of Southeast University(Medical Science Edition)

摘　　要：目的:探讨超声引导下Mammotome微创旋切系统在乳腺良性肿块切除术中的应用价值。方法:对182例患者(224个乳腺肿块)在超声引导下行微创旋切术,超声实时监测肿块切除全过程,切除组织均送病理学检查。结果:182例(224个肿块)均一次完全切除,手术时间7～50 min,平均时间28.5 min;旋切次数3～21次,平均12次;切出瘤组织标本为圆柱状。术中出血1～10 ml,平均5.5 ml。病理报告:9例为非典型增生,3例为导管内乳头状瘤,7例为囊肿(其中1例为大汗腺囊肿),136例为乳腺纤维腺瘤(其中1例为泌乳腺瘤),其余为腺病伴纤维瘤形成趋势。术后切口愈合好,无感染发生。结论:超声引导下Mammotome微创旋切系统可取材活检,到达早期诊断和治疗乳腺病变的目的,具有定位准确、安全、切除彻底、创伤小、并发症少等优点,是一项值得推广的乳腺微创技术。Objective： To research the application value of the ultrasound-guided Mammotome device in the treat- ment of benign breast mass. Methods： Breast masses （224） from 182 cases were removed by the Ultrasound- guided Mammotome device, and all the tissues resected were sent for pathologicl examination. Results： All the masses were excised at one time. The operation time was 7-50 min, mean time was 28.5 min. Frequency was 3-21 times, on average 12 times. Shape of specimens was cylindrical. Blood loss in surgery was about 1-10 ml and 5.5 ml on average. Pathological reports showed that 9 atypical hyperplasia, 3 intraductal papillomas, 7 cysts （ one was apocrine gland cyst）, 136 breast fibroadenoma （one for the lactating adenoma）, and the rest were in the sta- ges of adenosis and fibroma formation. The incision healed well, and there was no infection occurred. Conclu- sions： The Ultrasound-guided Mammotome device can be used to get the tissues for biopsy, make early diagnosis and treat breast lesions in good time, has the qualities of accurate, safe and thorough. The wound and complica- tions are less, so it is a technique which could be popularized.

关 键 词：MAMMOTOME系统 乳腺 肿块 超声引导 

分 类 号：R737.9[医药卫生—肿瘤]