超声引导下Mammotome旋切系统在乳腺疾病诊治中的应用研究(附326例病例报告)

Study on the diagnosis and treantment of breast diseases using mammotome under ultrasound guided (A report of 326 cases)

目的探讨超声引导下Mammotome旋切手术在乳腺疾病的诊断与治疗价值。方法我科2008年3月-2008年12月对326例患者406个乳腺病灶进行超声引导下Mammotome微创手术切除。对活检病理为良性的患者进行不少于8个月的随访;对于恶性或交界性病变的患者进行开放性手术:个别组织学和影像学特征不一致的患者进行开放性手术活检。结果术后病理学诊断恶性及良恶交接性病例共14例,均接受开放性手术。其中组织学低估1例(7.1%),针道种植1例(11.1%);312例共392个病灶为良性病变,其中假阴性1例;出现近期并发症5例(1.5%),无患者出现远期并发症。结论超声引导下Mammotome旋切微创手术能完全切除5～30mm的乳腺病灶,具有较高的准确性和安全性。

Objective To investigate the value of diaganosis and treatment using mammotome under ultrasound guided for breast diseases. Methods From March 2008 to December 2008, 326 eases with 406 breast lesion underwent minimally invasive surgery using mammotome surgery under ultrasound guided. In cases of benign lesions, the patients followed-up of at least 8 months and for borderline and malignant lesions open surgery was performed. In eases of imaging-histological discordance, open surgery also was performed. Results Pathological examination demonstrated borderline and malignant lesions in 14 cases, which received a surgical excision and with one ease underestimation（7.1%） and one case needle track implantation（11.1%）. 312 cases with 392 benign lesions were diagnosed, including one false negative case. Short-term complications were found in 5 cases and without long-term complications were observed. Conclusion Ultrasound guided mammotome can perform the minimally invasive surgery of total reseetion for 5-30 mm breasts lesion, and it has a high accuracy and safety.