超声引导下Mammotome治疗乳房不可触及病灶价值及入路研究

The value and approach of ultrasound-guided Mammotome system for the nonpalpable breast lesions

目的探讨超声引导下Mammotome在乳房不可触及病灶中的应用价值及入路。方法回顾性分析2007年5月至2010年3月枣庄矿业集团中心医院42例(78个部位的)乳房不可触及病灶在超声引导下Mammotome真空辅助旋切的临床资料。结果 42例病人中41例在20~70min内完成手术,1例因心悸、憋喘中止手术,病理诊断乳腺导管内癌2例,导管内乳头状瘤6例,乳腺纤维腺瘤12例,乳腺囊性增生症9例,乳腺腺病13例。术后1例出现局部的血肿,3例出现皮肤瘀斑,并发症发生率9.52%。结论超声引导下Mammotome旋切乳房不可触及病灶简便准确,创伤小,并发症少,时不同部位、不同层次的病灶用不同的穿刺入路,更符合微创,美容的原则。

Objective To investigate the value and approach of ultrasound-guided Mammotome system for the nonpalpable breast lesions.Methods From May 2007 to March 2010,42 cases(78 sites) with the nonpalpable breast lesions were treated with ultrasound-guided Mammotome vacuum-assisted rotation device.and the clinical data were retrospectivly analyzed.Results In the 42 cases,41 cases were completed surgery in 20-70 minutes,1 case was stoped because of cardiopalmus and asthma,pathologic diagnosis:2 cases were Intraductal carcinoma of breast,6 cases were intraductal papilloma,12 cases were fibroadenoma of breast,9 cases were cystic hyperplasia of breast,13 cases were adenosis of breast.1 case occured local haematoma,3 cases occurred dermal ecchymosis after operation.the incidence rate of complication was 9.52%.Conclusion Excision of the nonpalpable breast lesions using ultrasound-guided Mammotome system is convenient and exact,the trauma is little and complication is few,the different approach for differently regional and hierarchical breast lesions is more coincident with minimally invasive and aesthetic principle.