超声引导麦默通微创旋切术在非扪及性乳腺病灶诊治中的应用

Application of B-ultrasound-guided minimally invasive Mammotome biopsy system in non-palpable breast lesions

目的探讨超声引导下麦默通(Mammotome)真空微创旋切术在非扪及性乳腺病灶中的诊治价值。方法对58例96处非扪及性乳腺病灶进行高频超声引导下Mammotome(8G)微创旋切术。结果96处非扪及性乳腺病灶均被成功切除。其中乳腺纤维腺瘤76处,乳腺腺病16处,1处为乳腺导管内乳头状瘤,2处为导管原位癌,1处为乳腺浸润性导管癌。9处可疑病灶均明确诊断。每个病灶平均旋切切除12次。每例患者平均手术时间15 min。3例并发皮下淤血。结论超声引导下Mammotome(8G)微创旋切术是非扪及性乳腺病灶首选的诊治方法,病灶切除彻底,创伤小,对可疑病灶能及时明确诊断,对良性疾病兼具治疗作用。

Objective To evaluate the clinical application of B-ultrasound-guided minimally invasive Mammotome （8-G） biopsy system in diagnosis and treatment of nonpalpable breast lesions. Methods B- ultrasound-guided minimally invasive Manlmotome biopsy system was performed for 96 nonpalpable breast lesions of 58 patients. Results The 96 breast lesions of the 58 patients were excised completely by Mammotome system and all operations were visualized by B-ultrasound . Clinically suspicious lesions were satisfactorily confirmed by this system. Seventy-six lesions were diagnosed as f/broadenoma, 16 lesions as breast adenosis, 1 lesion as intraductal papilloma, 2 lesions as breast cancer, and 1 lesion as ductal carcinoma in situ. Skin ecchymosis was found in 3 patients after operation. The average excision time was 12 minutes （rainging 2 -45 times） , and the average duration of operation was 15 minutes （3 - 47 minutes ）. Conclusions The B-ultrasound-guided Mammotome （8 G） system can be used to diagnose and treat nonpalpable breast lesions, for it is convenient, safe and minimally invasive. It is a choice for total resection of nonpalpable breast lesions. A determinative histopathologic diagnosis can be obtained even for suspected lesions by using this technique.