超声引导下Mammotome乳腺旋切系统在乳房肿块诊疗中的应用探讨

Investigation of application of ultrasound- guided Mammotome breast rotatory cutting system in diagnosis and treatment of breast lump

目的探讨在超声引导下Mammotome乳腺旋切系统行乳房肿块诊疗的效果及安全性。方法回顾性分析2012年6月至2014年6月行超声引导下Mammotome切除多发性肿块的42例患者临床资料,观察手术效果并评价超声引导下Mammotome乳腺旋切系统的应用价值。结果 42例患者均成功进行Mammotome乳腺旋切手术,检出病灶75个,均为良性,术后B超显示病灶消失。随访半年乳房外形正常,原肿块表面皮肤触觉正常,临床查体及超声检查均未发现病灶局部残留及复发,所有患者对手术效果满意。术后2例出现乳房皮下淤血,1例穿刺点有硬结,1例乳头溢血,术后3个月复查血肿完全自行吸收,皮肤淤斑消失。全部病例均无出现活动性出血、感染及其他并发症发生。结论超声引导下Mammotome乳腺旋切术对完整切除乳房多发性病灶,操作简单,能最大限度地保持美观度,是值得临床推广应用的微创手术方法。

Objective To investigate the effect of diagnosis and treatment and the security of ultrasound - guided Mammotome breast rotatory cutting system to remove breast lump. Methods The clinical data of 42 cases of patients were retrospectively analyzed. They were removed multiple lumps in our hospital from June 2012 to June 2014 by uhrasound - guided Mammotome. The operation effect was observed and the application value of ultrasound - guided Mammotome breast rotatory cutting system was evaluated. Results 42 cases of patients were all succeed in undergoing Mammotome breast rotatory cutting system surgery. 75 lesions were detected, which were all benign. Postoperative B - ultrasound showed lesions disappeared. In the follow - up of half a year, the breast shape was normal, the feeling of the skin of surface of original lump was normal, and there were no local residue and recurrence of lesions were found in clinical and physical examination and B -ultrasound. All the patients were satisfied with the surgical effect. There were 2 cases of patients with breast hypodermic gore, 1 case of patient whose puncture point had induration, 1 case with nipple discharge blood and hematoma completely was absorbed by itself and skin ecchymoses disappeared in postoperative 3 - month review. All patients had no active bleeding, infection or other complications. Conclusion Ultrasound - guided Mammotome breast rotatory cutting system can remove multiple lesions of breast completely. The operation is simple and can keep maximum limit of beautiful degrees. It＇ s a minimally invasive operation method and worthy of clinical application and popularization.