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目的:探讨超声引导下Mammotome微创旋切系统对乳腺病灶进行微创切除的治疗价值。方法:在超声图像监控下,利用Mammotome系统对680例1 900个乳腺肿块进行切除及病理检查,并记录术后随访情况。对其进行回顾性分析,评价其在乳腺微创外科的应用价值。结果:680例1 900个乳腺肿块被准确地完全切除,切除组织量大,足够用于病理诊断,术后病理学诊断1例为恶性,其余均为良性。1175个肿块为纤维腺瘤,661个肿块为纤维腺病,19个肿块为导管内乳头状瘤,42个肿块为囊肿及囊性增生,2个肿块为管状腺瘤,1个肿块为乳腺小管癌。术后每3~6个月定期接受复查,术后切口小而隐蔽,瘢痕不明显,乳腺外形及皮肤感觉正常,超声未发现病灶残留,复发。结论:Mammotome技术对乳腺病灶可进行完整切除,是准确、有效、安全、美观、值得推广的乳腺微创技术。
Objective: To investigate the value of ultrasound-guided Mammotome minimally invasive polypectomy for minimally invasive surgical resection of breast lesions. Methods: Mammotome system was used to excise and pathologically examine 680 cases of 1 900 breast masses under ultrasound image monitoring. The postoperative follow-up was recorded. The retrospective analysis of its application in the evaluation of minimally invasive breast surgery. Results: 680 cases of 1 900 breast masses were completely and completely excised. The amount of resected tissue was large enough for pathological diagnosis. One case of postoperative pathological diagnosis was malignant and the others were benign. 1175 lumps were fibroadenomas, 661 lumps were fibrous adenosis, 19 were intraductal papillomas, 42 were cysts and cystic hyperplasia, 2 were tubular adenomas and 1 was tubule cancer. Every 3 to 6 months after surgery, regular review was performed. The incision was small and hidden, the scar was not obvious, the appearance and skin of the breast were normal, and no residual lesions and recurrence were found by ultrasound. Conclusion: Mammotome technique can completely excise breast lesions and is an accurate, effective, safe and beautiful breast debridement technique.