摘要
目的:探讨超声引导下Mammotome微创旋切系统在乳腺病灶诊治中的临床价值,分析并发症产生的原因并探讨防治对策。方法:回顾性研究2007年5月—2010年6月198例(共677处)乳腺病灶进行超声引导下Mammotome微创旋切术患者的临床资料,评价其在乳腺病灶诊断和治疗中价值,分析其并发症的处理及预防。结果:2例患者乳腺病灶未完全切除,切除成功率为99.0%。病理结果示乳腺良性病灶665处(98.2%)、恶性病灶12处(1.8%),10例患者(5.1%)行手术治疗。术后皮下淤血14例(7.1%)、局部病灶残留1例(0.5%)、局部血肿2例(1.0%),无感染、气胸、皮肤破损等严重并发症。结论:Mammotome系统对乳腺病灶进行微创切除安全有效、美容效果佳,且术后并发症少,易于处理,值得在临床推广使用。
Objective:To investigate the Clinical value of using ultrasound-guided Mammotome system in diagnosis and treatment of breast lesions,analyse the cause for complications and study the control strategy.Methods:From May 2007 to June 2010,677 breast lesions of 198 patients were suffered from using ultrasound-guided Mammotome system,their clinical data were retrospective studied to assess the value in diagnosis and treatment of breast lesions,analyse the dispose and prevention of complications,and summed up the experience.Results:breast lesions of 2 cases were not completely removed,the removal success rate was 99.0%.The pathologic results showed benign breast lesions were 655(98.2%),and malignant breast lesions were 12(1.8%),10 cases underwent the surgical treatments.The postoperative complications:subcutaneous hematoma in 14 cases(7.1%),partial residual lesions in 1 case(0.5%),local hematoma in 2 case(1.0%).Severer complications like infection、pneumothorax and skin damage were not found.Conclusion:Excision of breast lesions using ultrasound-guided Mammotome system is safety、effectively、satisfactory cosmetic effect,and fewer postoperative complications to deal with easily.It is worth popularizing in the clinical.
出处
《中国现代普通外科进展》
CAS
2011年第6期454-457,共4页
Chinese Journal of Current Advances in General Surgery