双人操作超声引导乳房真空辅助活检手术5867例体会  

Application and reflection of ultrasound-guided vacuum assisted breast biopsy in two-person operation (report of 5867 cases)

作　　者：陈波[1] 刘任成[2] 方菲 张玉霞 李继勇[5] 刘钢[6] 史贤义 黎峰 卢文亮[1] CHEN Bo;LIU Rencheng;FANG Fei(Department of Breast,Maternal and Child Health Care hospital of Hubei Province,Wuhan 430070,China)

机构地区：[1]湖北省妇幼保健院甲乳外科,430070 [2]湖北省黄梅县妇幼保健院乳腺科 [3]湖北省武穴市妇幼保健院乳腺科 [4]湖北省阳新县妇幼保健院乳腺科 [5]武汉市黄陂区人民医院甲乳外科 [6]湖北省黄石市中心医院甲乳外科 [7]湖北省随州市妇幼保健院乳腺科 [8]湖北省荆门市妇幼保健院乳腺科

出　　处：《临床外科杂志》2019年第10期856-858,共3页Journal of Clinical Surgery

摘　　要：目的总结双人操作超声引导真空辅助乳房活检手术的应用经验及思考。方法8家医院共5867例乳腺肿块病人,均运用真空辅助乳房活检手术。结果乳腺肿块病人5867例,平均年龄(35.77±11.08)岁,肿块平均直径(1.97±0.89)cm,病灶数目共16832个。术后病理检查:良性肿瘤4893例(92.00%),不典型增生264例(4.80%),导管内癌124例(2.12%),浸润乳腺癌68例(1.16%),叶状肿瘤4例(0.07%),炎性肿物78例(1.42%),腺病及单纯乳管扩张症50例(0.91%)。术后并发症中痛性血肿及皮下瘀血为最常见并发症,分别为1125例(20.5%)及482例(8.8%),中重度疼痛323例(5.90%),切口延迟愈合5例(0.09%),皮肤破损9例(0.16%),皮肤凹陷175例(3.20%),肿瘤残留复发449例(8.2%)。中转传统开放行手术者3例(0.05%)。未出现切口及深部组织感染等情况。结论双人操作超声引导真空辅助乳房活检手术的模式操作简便,效率高。Objective To summarize the application experience and value of ultrasound-guided vacuum-assisted breast biopsy with double operation.Methods Review the preoperative general conditions,postoperative pathology and postoperative complications of the patients in 5867 patients,analyze some problem and summary experience when utilize vacuum assisted breast biopsy surgery in practice.Results 5867 patients were included.average age of(35.77±11.08)years,average lump size(1.97±0.89)cm,a total number of lesions were 16832.Postoperative pathology showed benign tumor in 4893 cases(92.00%),atypical hyperplasia in 264 cases(4.80%),ductal carcinoma in situ in 124 cases(2.12%),invasive breast cancer in 68 cases(1.16%),phyllodes tumour in 4 cases(0.07%),inflammatory lesions in 78 cases(1.42%),simple adenopathy and duct dilation in 50 patients(0.91%).The most common postoperative complications were painful hematoma and subcutaneous ecchymosis.There are 1125 cases(20.5%)and 482 cases(8.8%),respectively.Moderately-severe pain in 323 cases(5.90%),delayed wound healing in 5 cases(0.09%),skin damage in 9 cases(0.16%),skin sag in 175 cases(3.20%).Tumor residual recurrence in 449 cases(8.2%),change to traditional to open surgery midway in 3 cases(0.05%).No incisions or deep tissue infections were found.Conclusion The mode of two-person operation ultrasound-guided vacuum assisted breast biopsy is simple and efficient.

关 键 词：真空辅助 乳房活检手术 双人操作 

分 类 号：R73[医药卫生—肿瘤]