小切口联合旋切减体术治疗乳腺纤维腺瘤

Small incision combined ultrasound-guided body augmentation in treating breast fibroadenoma

目的探讨小切口联合超声引导下旋切减体术治疗乳腺纤维腺瘤的体会。方法 2013年3月至2015年1月,对16例19个乳腺肿块行小切口联合超声引导下旋切减体术治疗。术前均行超声检查,将BI-RADS分级为2~3级、直径〉2.0 cm的病灶作为研究对象,整个手术过程均由超声引导,术后患者超声定期随访1~3月,以观察治疗效果和有无并发症。结果 19个病灶病理诊断均为乳腺纤维腺瘤,所有病例无皮下瘀斑、皮肤损伤、气胸、大出血等并发症。结论小切口联合超声引导下旋切减体术治疗乳腺纤维腺瘤,治疗疤痕小、隐蔽美容。超声可术前病灶筛选、术中定位引导、术后复查且在超声引导下手术,不需要腔镜隧道式探查,避免肿瘤残留、血肿等并发症,减少了患者负担,在解决较大纤维腺瘤方面确实是一种巧妙的方法。

Objective To investigate the clinical value of small incision combined ultrasound-guided body augmentation in the treatment of breast fibroadenoma. Methods From March 2013 to January 2015,19 breast masses larger than 20 mm in 16 cases were removed using small incision combined ultrasound-guided body augmentation by Mammotome vacuum device. All the masses were examined by preoperative ultrasound,the lesions that their BI-RADS scales ranged from 2 to 3 grade and diameter over 20 mm,were chose as study object. The operations were conducted in accordance with real time visualized by ultrasound. The 16 cases were followed up by ultrasound for 1 to 3 months. Results Totally 19 masses were all pathologically diagnosed as breast fibroadenoma. No subcutaneous ecchymosis,skin damage,pneumothorax and bleeding were found after operations. Conclusions Small incision combined ultrasound-guided body augmentation using Mammotome vacuum device is feasible for total resection of breast fibroadenoma at bigger sizes,leading to fewer complications and cosmetic results. Ultrasound can be used for preoperative screening lesions,for operation guiding and positioning and postoperative review. The method is worth to be recommended for the treatment of bigger breast fibroadenoma.