Mammotome微创旋切系统在乳腺外科中的应用(附132例分析)

目的探讨B超引导下Mammotome微创旋切系统对乳腺肿块诊断与治疗的应用价值.方法132例221处乳腺肿块在B超引导下进行Mammotome微创旋切术.其中一侧单发肿块79例,单侧或双侧多发肿块53例,直径0.5～5.2cm,平均1.4 cm,149处肿块临床可扪及.结果所有肿块均完成Mammotome微创旋切切除,平均旋切24次,平均36 min (10～40 min).无一例操作失败.所有肿块均获得明确病理诊断,良性病变129例,乳腺浸润性导管癌3例均行乳腺癌改良根治术.皮肤伤口小,除10例有轻度皮下瘀血外无其它并发症.结论B超引导Mammotome微创旋切系统进行乳腺肿块切除,操作简易,切除彻底,创伤小.

Application of the Mammotome minimally invasive biopsy system in breast surgery: An analysis of 132 cases

Objective To evaluate the application of u lt rasound guided Mammotome minimally invasive biopsy system in the diagnosis and t reatment of breast mass. Methods B-ultrasound guided stereotac tic core breast biopsy using the Mammotome system was conducted in 221 breast ma sses of 132 patients. Unilateral solitary masses were found in 79 patients and u nilateral or bilateral multiple masses, in 53 patients. The mass was 0.5~5.2 cm (mean, 1.4 cm) in diameter. Of the 221 masses, 149 were clinically palpable. Results All the lesions were removed by using the Mammotome syste m. The stereotactic excisional biopsy was performed for a mean of 24 times, last ing a mean of 36 min (range, 10~40 min). No failed procedure occurred. All the m asses were pathologically confirmed as benign lesions in 129 patients and invasi ve ductal carcinomas in 3 patients (a modified radical mastectomy was then perfo rmed). Postoperatively, the incision scar was barely visible and no complication s happened except for mild subcutaneous hemorrhage in 10 patients. Conc lusions Use of B-ultrasound guided stereotactic core breast biopsy usin g the Mammotome system for the removal of benign breast lesions is convenient, e ffective, and minimally invasive.