超声引导下Mammotome旋切系统在乳腺纤维腺瘤中的应用

Ultrasound-guided Mammotome Vacuum Biopsy for Breast Fibroadenoma

目的探讨超声引导下应用Mammotome旋切系统在乳腺纤维腺瘤中的应用价值。方法2007年1月～2008年10月,对183例266个乳腺良性肿瘤进行超声引导下Mammotome微创旋切术,直径4～25 mm,其中≤10 mm 73个,10～20 mm148个,≥20 mm45个。结果266个乳腺病灶均被Mammotome微创旋切系统完全切除,平均旋切15次(5～44次),手术时间26 min(10～60 min)。2例轻度皮下淤血,余无并发症。瘢痕长2.5～4 mm,隐蔽。183例随访2～22个月,平均12个月,均应用超声检查,BI-RADS评级Ⅰ～Ⅱ级,未提示局部复发。结论应用Mammotome微创旋切系统切除适当大小乳腺纤维腺瘤,可完全切除病灶并获得理想美容学效果,并发症少。多发纤维腺瘤的手术经验尚需进一步探索总结。

Objective To investigate the value of ultrasound-guided Mammotome minimal invasive system in the treatment of breast fibroadenoma. Methods From January 2007 to October 2008,266 benign breast lesions of 183 cases were treated by ultrasound-guided Mammotome minimal invasive system. The diameter of the masses ranged from 4 to 25 mm （ ≤10 mm in 73 cases, 10 -20 mm in 148, and ≥20 mm in 45）. Results The 266 lesions in the 183 patients were excised completely by using the Mammotome system. The excision was performed for a mean of 15 times in each case （ranged from 5 to 44 times） with an average operation time of 26 minutes （ 10 to 60 minutes）. No complication was found after the surgery except slight subcutaneous ecchymosis in 2 cases. The length of the incisional scar, which was not apparent, ranged from 2.5 to 4 mm. The 183 cases were followed up by ultrasonography for 2 to 22 months （mean, 12 months） , during which their BI-RADS scales ranged from Ⅰ to Ⅱ, no local recurrence was found. Conclusions Ultrasound-guided Mammotome minimally invasive system is feasible for total resection of breast fibroadenoma with appropriate sizes. The technique leads to fewer complications and good cosmetic results. Further studies on the system are necessary for the treatment of multiple breast fibroadenomas.