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为了探讨麦默通(Mammotome)微创旋切系统在乳腺病灶切除中的价值及手术技巧,对412例751个乳腺病灶在超声引导下进行了Mammotome乳腺微创旋切术。结果显示,751个乳腺病灶被切除,手术成功率100.0%。病理结果乳腺癌8例,7例行乳腺癌根治术,1例行保留乳房术,其中3例病理组织中未见有癌细胞残留。良性疾病404例,其中不典型增生5例;纤维腺瘤340例;导管内乳头状瘤11例;乳腺腺病及增生症36例;其他12例。术后乳房上仅留有0.5～1.0cm微小瘢痕。发生局部血肿35例,皮下淤血14例,无感染及其他并发症。3～6个月B超复查均未见复发。初步研究结果提示,Mammotome乳腺病灶微创手术是一种定位准确、损伤小、恢复快,几无手术瘢痕的一种新型手术方式,尤其适合多发性乳腺肿块及隐匿性肿块的切除。
To investigate the value and surgical technique of Mammotome minimally invasive polypectomy in the resection of breast lesions, Mammotome minimally invasive polypectomy was performed on 412 cases of 751 breast lesions under the guidance of ultrasound. The results showed that 751 breast lesions were removed, the success rate was 100.0%. Pathological findings Breast cancer in 8 cases, 7 cases of radical mastectomy, 1 case of retained breast surgery, of which 3 cases of pathological tissue, no cancer cell residue. 404 cases of benign diseases, including 5 cases of atypical hyperplasia; fibroadenoma 340 cases; 11 cases of intraductal papilloma; breast adenosis and hyperplasia 36 cases; the other 12 cases. Postoperative breast left only 0.5 ~ 1.0cm tiny scar. 35 cases of local hematoma occurred, 14 cases of subcutaneous congestion, no infection and other complications. 3 to 6 months of B-ultrasound were no recurrence. Preliminary findings suggest that minimally invasive surgery Mammotome breast lesions is a new type of surgical approach that is accurate positioning, small injury, rapid recovery, and few surgical scars, especially for multiple breast lumps and occult tumor resection.