超声引导下Mammotome微创旋切术治疗乳腺良性肿块  

Application of Ultrasound Guided Mammotome Minimally Spiral Resection in Treatment of Benign Breast Lesion

作　　者：余丽萍[1] 赖江琼[1] 何志安[1] 周潘宇[2] YU Li-ping;LAI Jiang-qiong;HE Zhi-anl;ZHOU Pan-yu(Department of Ultrasound, PLA 180 Hospital, Quanzhou, Fujian, 362000, China;Department of Emergency, Changhai Hospital, Second Military Medical University, Shanghai, 200433, China)

机构地区：[1]解放军第180医院超声科,福建泉州362000 [2]第二军医大学附属长海医院急诊科,上海200433

出　　处：《现代生物医学进展》2018年第9期1698-1700,1734,共4页Progress in Modern Biomedicine

基　　金：国家自然科学基金项目(81601910)

摘　　要：目的:研究超声引导下Mammotome微创旋切术对乳腺良性肿块的治疗价值。方法:回顾性分析2014年9月至2016年9月在本院就诊的BI-RADS分级为2~3级的387例乳腺良性肿块患者,运用Mammotome对729处乳腺病灶行微创旋切术,分析术后病理、并发症、随访半年后的治疗结果。结果:387例患者的729处乳腺病灶均获一次性成功切除。病理示均为良性病灶,其中32个合并不典型增生。术后出现局部血肿共11例(2.8%),皮下瘀斑共16例(4.1%),所有患者均未发生感染及气胸等严重并发症。术后6个月18个在病灶原部位发现肿块;手术无残留率为97.5%。结论:应用超声引导下Mammotome微创旋切术治疗乳腺良性肿块临床可行。Objective： To explore the application value of ultrasound guided Mammotome minimally spiral resection in treatment of benign breast lesion. Methods： A retrospective analysis of 387 patients with benign breast lesion（BI-RADS grade 2 and 3） received in our hospital between September 2014 and September 2016 was performed. 729 breast lesions of these 387 patients were resected by ultrasound guided Mammotome minimally spiral resection. Postoperative pathological examination was made and follow-up was conducted for 6 months to observe the therapeutic effect and complications. Results： All lesions were successfully resected in one time. The pathological results showed that there were 697 benign breast lesions and 32 benign lesions combined with atypical hyperplasia. Local hematoma occurred in 11 cases（2.8%） and ecchymosis in 16 cases（4.1%）. In 6 months after operation, residual lesions were found at the original site in 18 lesions. The no residual rate was 97.5%. Conclusion： Ultrasound guided Mammotome minimally spiral resection is a safe and effective treatment.

关 键 词：超声引导 Mammotome旋切术 微创 乳腺良性肿块 

分 类 号：R737.9[医药卫生—肿瘤] R655.8[医药卫生—临床医学]