超声引导下Mammotome微创旋切术在乳腺良性病变中的应用

Application of Ultrasound-guided Mammotome as a Minimally Invasive System for Benign Breast Lesions Treatment

目的:评价超声引导下Mammotome微创旋切术在乳腺良性病灶中的应用价值。方法:收集2010年3月至2010年10月乳腺良性肿块22例37个,在超声引导下行Mammotome微创旋切术治疗,超声实时监测旋切全过程,所有切除组织均送病理检查。结果:37处病灶超声均清楚显示,在超声引导下36个病灶均一次性切除,术中并发胸腔心包积血一例,刺破皮肤一例,术区积血3例。病理结果示纤维腺瘤32例、囊性增生4例。结论:超声引导下Mammotome微创旋切术切除乳腺良性肿块,成功率高,具有损伤小、恢复快、术后无明显疤痕等优势,在乳腺良性病灶中具有极高的应用价值。

Objective：To evaluate the applied value of ultrasound-guided mammotome as a minimal invasive system in treatment of benign breast lesions.Methods：Treatment of thirty-seven breast lesions in 22 patients were performed by ultrasound-guided mammotome minimally invasive biopsy system between March 2010 to October 2010.The real-time ultrasound monitored the whole process of lesions resection,all resectioned tissue was sent for pathological testing.Results：The 36 of 37 breast lesions were excised completely by the mammotome system,and all operations were visualized by ultrasound.Thirty-two lesions were confirmed by pathology as fibro-adenoma and four cases as cystic hyperplasia.The complications include one case of thoracic pericardiocentesis,one case of skin injury,and three cases of haematomas.Conclusions：The ultrasound-guided mammotome system can be used to treat breast benign lesions for its convenience,safety,its minimally invasiveness,its real-time display,its high success rate,and no scarring,It has great application value to the treatment of benign breast lesions.