真空辅助旋切技术在乳腺良恶性疾病中的应用进展

Application progress of vacuum assisted rotary cutting technique in benign and malignant breast diseases

目的了解真空辅助旋切技术在乳腺良恶性疾病中的应用情况。方法对近年来国内外关于真空辅助旋切技术在乳腺良恶性疾病中应用研究的相关文献进行综述。结果真空辅助旋切技术已扩展应用于导管内肿瘤、叶状肿瘤的治疗,用于切除非哺乳期乳腺炎病灶,也作为男性乳腺发育症的一种微创治疗方式,并且彩超、钼靶、MRI引导下的真空辅助旋切技术可获取足够量的组织标本可用于早期乳腺癌的筛查与活检;在乳腺癌的保乳治疗中需进一步探讨真空辅助旋切技术的适应证。结论真空辅助旋切技术已推广应用于乳腺多种良性疾病的治疗及早期乳腺癌的诊断与治疗,需结合临床表现及辅助检查结果判定最佳手术适应证。

Objective To understand the application of vacuum assisted rotary cutting technique in benign and malignant breast diseases.Method The related literatures about the application of vacuum assisted rotary cutting technique in the breast benign and malignant diseases were reviewed.Results The technique of vacuum assisted rotary cutting had been applied to the treatment of intraductal and phyllodes tumors.The non-lactation mastitis lesions could all be removed by this technique,and as a minimally invasive treatment for gynecomastia.It could guided by the color Doppler ultrasound,mammography and MRI,which could obtain enough tissue specimens for the screening and biopsy of early breast cancer.The indication of vacuum assisted rotary cutting technique should be further discussed in the breast conserving treatment of breast cancer.Conclusions Vacuum assisted rotary cutting technique has been widely used in treatment of various benign diseases of the breast and diagnosis and treatment of breast cancer.The best indication for operation should be determined based on clinical manifestations and auxiliary examination results.