超声引导下麦默通微创切除乳腺良性肿块78例分析

目的探讨超声引导下麦默通微创切除乳腺良性肿块的临床应用要点。方法 78例女性患者共81个乳腺肿物,在超声引导下行麦默通微创切除术,病理检查明确性质,术后3～6个月随访治疗效果。结果 81个乳腺肿块中,良性肿块79个,乳腺癌灶2个,术中显示肿块均完整切除,单个肿块切除平均时间10min。3例出现术后血肿情况。术后3～6个月随访,78例中76例效果满意,满意率达97.44%,术后随诊6月暂未发现复发情况。结论麦默通微创切除乳腺良性肿块具有安全、微创,效果确切、术后美观的优点,以5～25mm肿块效果最佳,而对>30mm的肿块效果欠佳。

Objective To explore the clinicle application main points of benign breast mass using minimally invasive treatment of high frequency ultrasound guided Mammotome.Methods 81 tumor of 78 gynopatients underwent minimally invasive treatment of high frequency ultrasound guided Mammotome,the property of masses were identified by pathology and the gyno-patients were followed up after 3 months to 6 months later of operation.Results There were 79 benign breast mass and 2 breast cancer in 81 tumours.Ultrasound showed that all the tumours were completely removed with Mammotome.The patients were followed up after treatment,and the satisfaction rate was 97.44% （76/78）.There 3 cases hematomaed after the surgery.Zero case relapsed during 6 months （0/78）.Conclusion High frequency ultrasound guided Mammotome is a minimally invasive,safe and accurate technique which does not influence the appearance of breast.It is especially suitable for 5～25 mm masses,but not suitable for benign breast mass which is bigger than 30 mm.