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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
作者:武晨 徐振花 黄选东 
单位:淮安市第二人民医院乳腺中心
关键词:Mammotome系统 乳腺 肿块  超声引导 
分类号:
出版年·卷·期(页码):2011·30·第二期(365-367)
摘要:

目的 探讨超声引导下Mammotome微创旋切术在乳腺良性肿切除块中的应用价值。方法 182例患者224个乳腺肿块在超声引导下行微创旋切术,超声实时监测切除全过程,所有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7~50min, 平均时间28.5 min;旋切次数3~ 21次,平均12次;切出标本为圆柱状,条数3~21条,平均约12条。术中出血1~10ml , 平均5.5 m l。病理结果:9例非典型增生,3例为导管内乳头状瘤,7例囊肿(其中1例为大汗腺囊肿),136例乳腺纤维腺瘤(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,具有定位精确,安全、切除彻底,创伤小,并发症少,是一项值得推广的乳腺微创技术。

Objective To investigate the value of the ultrasound-guided Mammotome minimally invasive biopsy system in the removal of benign breast masses. Method 224 breast bumps from 182 cases were removed in the ultrasound-guided by Minimally invasive surgery. The entire process was in Ultrasonic real-time monitoring, and all the resected tissue were sent to pathologicl examination. 224 breast bumps from 182 cases are for biopsy breast lesions and excised completely by using Mammot0me of minimally invasive biopsy system. Results 182 cases (224 tumors) are all on resection at one time, surgical ablation time is from 7 min to 50min, the average time is 28.5 min. potary frequency is from 3 times to 21 times, on average 12 times; cutting the specimens to be cylindrical, the strips are frome 3 to 21, and about 12 on average; blood loss was about 1~lOml in surgery, 5.5ml on average. Pathology results 9 atypical hyperplasia, 3 intraductal papillomas, 7 cysts (one for apocrine sweat glands cysts), 136 for breast fibroadenoma (one for the lactating adenoma),the rest were adenoses accompany fibroma tendency, the incision healed well, and there was no infection occurred. Conclusion Ultrasound-guided Mammotome minimally invasive biopsy system can draw the tissue for biopsy, which as one way of a early diagnosis and treatment of breast lesions, with the advantage of accuracy localization, safety, little trauma, and few complications. it is a minimally breast invasive technique and should be promoted.

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