Mammotome微创旋切系统对乳腺病灶诊治的临床研究

Clinical research for using Mammotome system in diagnosis and treatment of breast lesions

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.