麦默通旋切系统在乳腺导管内乳头状瘤诊疗中的应用  

Minimally invasive surgery using mammotome biopsy system for diagnosis and treatment of intraductal papilloma

作　　者：张晓申[1] 叶熹罡[1] 潘凌霄[1] 郑文博[1] 

机构地区：[1]广州医学院第一附属医院乳腺外科,广东广州510120

出　　处：《广州医学院学报》2013年第2期70-72,共3页Academic Journal of Guangzhou Medical College

摘　　要：目的：探讨超声引导下麦默通旋切系统对乳腺导管内乳头状瘤（IP）的诊断与治疗价值，、方法：回顾性分析2008年8月至2011年9月广州医学院第一附属医院收治的31例（35个病灶）IP患者的临床资料，均采用超声引导下麦默通旋切系统进行诊断和治疗，结果：所有病灶定位准确．手术时间5-20min，平均手术时间（9．2±12．7）mln，．术中及术后患者均无明显疼痛．术后无血肿形成、病理检查示6例（19．4％）为不典型IP，接受开放手术切除，其中1例（16．7％）为浸润性导管癌，改行单纯乳房切除＋前哨淋巴结活检术；25例（80．6％）为良性IP，接受定期超声检查术后3个月复查，患者伤口均愈合良好，无明显疤痕形成。1例术后15个月复发，接受开放手术切除，结论：超声引导下麦默通旋切系统可准确定位并切除IP，具有微创、美观、并发症少等优点，值得进一步推广当病理为不典型导管内乳头状瘤时．需进一步行开放手术切除。Objective： To determine the value of minimally invaslve surgery using Mammotome biopsy system for the diagnosis and treatment of intraductal papilloma （IP）. Methods： We did a retrospeetive analysis on the elinical profiles of 31 patients （35 lesions） who were admitted to First Affiliated Hospital of （,uangzhou Medical College between August 2008 and September 2011 to receive diagnosis and treatment of IP by using Mammotome biopsy system guided by uhrasonography. Results： All lesions were accurately positioned for resection. The average duration of surgery was （9.2 ± 12.7）rain （ range： 5 -20 min）. No signifieant pain was reported during the surgery or postoperatively, nor was hematoma postoperatively. Atypical IP requiring open surgical biopsy was found in 6 cases （ 19.4% ） , of whom a single case （ 16.7% ） had invaslve duetal carcinoma that required masteetomy plus sentinel lymph node biopsy. Benign IP was diagnosed in the remaining 25 cases that warranted uhrasonography during follow-up visits. All wounds were reeovered without sear formation at month 3 postoperatively. Relapse was reported in a single case requiring open surgical resection. Conclusion： Characterized by minimal invasiveness, artistic features and minor complications, uhrasonography-guided Mammotome biopsy system may precisely position the lesion of IP for resection and should be promoted for application. However, pathology-diagnosed atypical IP should warrant open surgical resection.

关 键 词：麦默通旋切系统 微创手术 超声引导 导管内乳头状瘤 

分 类 号：R737[医药卫生—肿瘤]