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目的探讨超声引导下麦默通旋切术在乳腺肿块诊断及治疗中的价值。方法女性乳腺肿块患者316例(739个肿块),均行超声引导麦默通旋切术,对手术切除标本行快速冰冻组织病理学检查,恶性肿块则即刻改行保乳乳腺癌改良根治术。结果 739个乳腺肿块均完整切除,快速冰冻组织病理诊断乳腺良性肿块313例(736个),恶性肿块3例(3个);3例恶性肿块患者均行保乳乳腺癌改良根治术,术后组织病理证实为乳腺癌;术后出现皮下瘀斑25例,局部血肿形成13例,5例乳头溢血;术后随访12个月,313例良性肿块患者中5例复发,3例恶性肿瘤患者无复发及转移。结论超声引导下麦默通旋切术可对乳腺肿块作出定性诊断,并进行合理治疗,术后并发症发生率低。
Objective To investigate the value of ultrasound-guided mesomectomy in the diagnosis and treatment of breast masses. Methods 316 patients with breast masses (739 masses) underwent ultrasound-guided metaplasia. Fast frozen histopathological examination was performed on the resected specimens. The malignant masses were immediately switched to modified radical mastectomy for breast-conserving breast cancer. Results All the 739 breast masses were completely resected, and 313 (736) benign breast masses and 3 malignant masses were diagnosed by rapid frozen histopathology. Three patients with malignant masses underwent conservative radical mastectomy of breast- The histopathology was confirmed as breast cancer. There were 25 cases of subcutaneous ecchymosis after operation, 13 cases of local hematoma and 5 cases of nipple hemorrhage. After the operation for 12 months, 5 of 313 benign masses recurred, and 3 cases of malignant tumors Recurrence and metastasis. Conclusion Ultrasound-guided mesomectomy can make qualitative diagnosis of breast masses, and reasonable treatment, the incidence of postoperative complications is low.