Mammotome旋切系统微创治疗乳腺良性病变

Treatment of minimally invasive therapy for benign breast diseases

目的探讨B超引导下Mammotome微创手术对乳腺良性病灶的诊断与治疗价值。方法回顾分析104例111处乳腺良性病灶在B超引导下行Mammotome微创旋切术的治疗情况,评价其对乳腺病灶的诊治效果。结果104例共111处乳腺病灶均被Mammotome微创旋切切除,平均旋切15次,用时30min,术后病理检查良性,其中乳腺纤维腺瘤78处,乳腺纤维腺病21处,乳腺囊性增生伴大导管扩张12处。结论B超引导下Mammotome微创旋切系统切除乳腺良性肿块具有穿刺准确、创伤小、操作简单、安全、疗效好等优点,尤其适合于3.0cm以下的乳腺小肿块,是一种值得推广的手术方法。

Objective To evaluate the application of ultrasound - guided Mammotome minimally invasive biopsy system in the diagnosis and treatment of benign breast diseases. Methods The operations and biopsy for 1 11 breast lesions in 104 patients were performed by ultrasound-guided Mammotome system, and the diagnostic and therapeutic value of Mammotome system was evaluated. Results One hundred and eleven lesions in 104 patients were excised by the Mammotome system. The average time of excision was 15 and the duration of operation was 30 min. There were 78 fibroadenomas of breast, 21 fibroadenosis and 12 cystic hyperplasia in 104 cases benign lesions. Conclusion Excision of benign breast lesions using ultrasound-guided Mammotome vacuum device is exact, minimally invasive, safe and feasible, especially suitable for benign breast lesions ≤3.0 cm in size. It deserves to be popularized.