麦默通微创旋切系统在乳腺良性疾病中的应用

目的:探讨B超引导下麦默通(Mammotome)微创旋切系统治疗乳腺良性疾病的临床应用价值。方法:在B超引导下应用Mammotome系统对92例136处乳房良性病灶施行微创旋切术。结果:92例136处病灶均被Mammo-tome微创旋切系统准确、完全切除。每处病灶平均旋切15次,切除时间平均为18 min,术后病理诊断纤维腺瘤68例,囊性增生病12例,乳头状瘤6例,乳腺腺病6例。近期并发症为局部瘀血3例,局部小血肿2例,均发生于病灶近乳头、单次切除数个病灶者。术后观察3~6个月,无病灶残留。结论:B超引导下Mammotome微创旋切系统切除乳腺良性病灶准确、安全、创伤小,美容效果良好;特殊病例需注意并发症的发生。

The clinieal application of ultrasound guided Mammotome on benign breast lesions

Objective:To evaluate the clinical application of ultrasound guided Mammotome on benign breast lesions.Methods:The operations and biopsy for 136 breast lesions in 92 patients were performed by ultrasound guided Mammotome system.Results:All of breast lesions were resected safely and completely.The average incisions were 15 times and the mean operative time was 18 min.Histological examination diagnosed fibroadenoma in 68 cases,cystic hyperplasia in 12 cases,papilloma in 6 cases and adenosis in 6 cases.Lesions closer to the nipple and cases in which multiple lesions were removed at a time were developed more complications which include subcutaneous congestion and haematoma.With post-operative follow up from 3～6 months,no operative residual breast lesions were found by the ultrasound examination.Conclusion:It is accurate,safe and minimal invasive procedure to excise benign breast lesions by ultrasound guided Mammotome system and the cosmetric effect is satisfactory.However,more attention should be given to certain lesions.