超声引导下麦默通微创旋切系统在乳腺病灶诊治中的应用(附1761例报告)

目的探讨超声引导下麦默通(Mammotome)微创旋切系统在乳腺病灶诊治中的应用价值。方法从2007年9月至2009年8月本科室对1761例3665处乳腺病灶在超声引导下进行Mammotome微创旋切术,通过病理检查和随访,评价其对乳腺病灶的诊治效果,总结临床经验。结果采用Mammotome微创手术,所有病灶均成功彻底切除。乳腺病灶长径为0.5～2.3cm,平均切除时间为10min(5～25min),平均出血量为8ml,皮肤伤口微小,仅3～5mm。无严重并发症。结论采用超声引导下Mammotome微创旋切技术切除乳腺病灶,具有损伤小、操作简单、快捷、美观效果,安全可行。

Ultrasound-guided Mammotome system in diagnosis and treatment of breast lesions:a report of 1761 cases

Objective To investigate the applicable value of ultrasound-guided Mammotome system in diagnosis and treatment of breast lesions. Methods From September 2007 to October 2008, 3665 breast lesions of 1761 patients were managed using ultrasound-guided Mammotome system for diagnosis and treatment in our department, The diagnostic and therapeutic results were evaluated in light with pathological examination and follow-up, and the experience was summed up. Results All the breast lesions were resected safely and completely. The diameter of the lesions was 0.5-2.3 cm. The mean operative time was 15 min （5-25 min）. The length of incision was 3--5 mm. The average blood loss was 8 ml. No severer complications were found. Conclusion Excision of breast lesions using ultrasound guided Mammotome system is of minimal invasion, easy operation, short time and satisfactory cosmetic effect. It is safe and feasible.