Mammotome真空辅助旋切系统在乳腺良性肿块微创切除中的应用

目的探讨超声引导下Mammotome真空辅助旋切系统对乳腺良性病灶进行微创切除的治疗价值。方法2005年10月至2006年12月,对82例患者218个超声检查诊断为良性的乳腺病灶在超声引导下进行Mammotome切除术,对其进行回顾性分析,评价其在乳腺微创外科的应用价值。结果全部肿块均顺利切除,术后病理学诊断全部为良性,患者第2天可恢复上肢正常活动。术后3,6个月接受复查,乳腺外形及皮肤感觉正常,超声未发现病灶残留,术后切口瘢痕不明显。结论应用超声引导下Mammotome切除术对乳腺良性病灶可进行完整切除,具有微创、美观、术后对触觉无影响、操作简单、安全等优点,是一种值得推广的微创手术方法。

Application of Mammotome system in the minimally invasive surgery for excision of breast benign lesions

Objective To investigate the value of ultrasound-guided Mammotome system in minimally invasive surgery for complete excision of benign breast lesions.Methods Eighty-two women with 218 benign breast lesions were treated with ultrasound-guided Mammotome vacuum device.All of the lesions were removed and the therapeutic efficacy of Mammotome system was evaluated.Results All of the lesions were benign.The patients were followed up post-operative for 3 to 6 months and no residual breast lesions were found by the ultrasound examination in all cases.Post-operative cutaneous scar was not found.Conclusions Excision of benign breast lesions using ultrasound-guided Mammotome vacuum device is minimally invasive,safe,feasible and suitable.It is a good method worthy of popularization.