乳管镜定位联合麦默通切除乳管内肿瘤的临床应用

Clinical Application of Breast Duct Endoscopy Positioning Combined Mammotome in Breast Duct Tumor Resection

目的:探讨超声引导下乳管镜定位联合麦默通行乳管内肿瘤切除手术方法的应用价值。方法:对92例乳头溢液行乳管镜检查,发现乳管内瘤60例,其中32例乳管内瘤行超声引导下乳管镜套管注射美兰定位,行麦默通微创手术切除局部病灶及蓝染组织送病检;28例经溢液乳孔注入美兰,行蓝染乳腺小叶或区段切除病检。结果:32例超声引导乳管镜定位麦默通切除病灶组手术,病灶病理率为93.75%,高于传统组71.4%,MMT组手术时间(10±3)min短于传统组(25±8)min。结论:超声引导乳管镜定位联合麦默通切除乳管内肿瘤定位准确,切除率高,损伤小,恢复快,值得临床应用。

Objective：To explore the application value of breast duct endoscopy positioning under ultrasonic guidance combined Mammotome in breast duct tumor resection.Methods：92cases patients with nipple discharge were conducted fiberoptic ductoscopy,and found 60 cases of patients with breast duct tumor.32 cases of patients with breast duct tumor received breast duct drive pipe injection of meilan for positioning guided by ultrasound,and was given mammotome minimally invasive surgical resection and send disease inspection;28cases of patients received injection of meilan through discharge hole,and was given aizen lobules of mammary gland or segment resection disease detection.Results：The pathologic lesions rate of 32 cases of patients received mammotome resection 93.75%,which was higher than that of traditional group（71.4%）,and the operation time of MMT group（10±3min）was shorter than that of traditional group（25±8min）.Conclusion：Breast duct endoscopy positioning combined Mammotome in Breast duct tumor resection is accurate,with high removal rate,less injury,rapid recovery,which is worthy of clinical application.