超声引导Mammotome系统在乳腺肿块中的临床应用

目的：探讨超声引导下Mammotome微创旋切系统在乳腺肿块诊断及治疗中的应用价值。方法：对105例118个乳腺肿块患者行常规超声检查后在实时超声引导下运用Mammotome旋切系统对肿块进行微创旋切术。结果：超声引导成功率100%,术中冷冻切片提示恶性病灶9个,良性病灶109个,与术后病理诊断相符。术后1周超声复查4例有血肿形成（原病变均为乳腺纤维腺瘤）,3个月复查血肿完全吸收。恶性病灶无原发灶残留和复发,良性病灶也未发现残留灶。结论：超声引导Mammotome旋切系统可以对乳腺肿块进行精确的活组织取材,对适宜的良性病灶可以进行完整切除,该技术安全、微创、确诊率高、并发症少,是乳腺肿块诊治的有效方法。

Ultrasound-guided Mammotome System in the Clinical Application of Breast Masses

Objective：To investigate the clinical value of ultrasound-guided Mammotome system in the diagnosis and treatment of breast masses. Methods： 118 breast masses in 105 patients were examined with conventional ultrasonography, then the patients underwent mini-invasive surgery under ultrasound-guided mammotome system. Results： the success rate of ultrasound-guided excision of breast mass was 100%. 9 lesions were diagnosed as malignant and 109 lesions were benign by intraoperative frozen section pathology study, and they were in agreement with the diagnosis of conventional pathology. 4 patients showed post-operative hematoma （all of the original lesion were adenofibroma） on follow-up ultrasonography 1 week after operation and were absorbed on 3 months follow-up ultrasonography. No residual lesion and recurrence were found in all cases. Conclusion： Ultrasound-guided Mammotome system can be used for biopsy of breast masses, with high success rate for complete removal of benign breast lesions. This particular technology is safe, mini-invasive, high accuracy and with less complication, provides an effective technique for the diagnosis and treatment of breast masses.