B超引导下Mammotome旋切系统在乳腺肿瘤中的应用:附115例报告
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The application of mammotome system in diagnosis and treatment of breast tumor: a report of 115 cases
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    摘要:

    目的:探讨超声引导下使用Mammotome( 麦默通) 系统对乳腺病灶进行微创切除及其活检的临床应用价值。
    方法:在超声图像监控下, 利用Mammotome 系统对115 例患者152 个乳腺病灶进行切除或活检, 并记录术后病理结果及随访情况。
    结果:所有患者及所有乳腺病灶被准确完全切除并进行活检;其中86 个病灶病理检查为纤维腺瘤, 34 个为乳腺腺病,2个为脂肪坏死,3个为男性乳房发育症, 1 个为导管炎症, 26个为乳腺癌。活检病理与手术病理符合率100%。术后3 例出现局部血肿, 4 例皮下瘀血,1例出现皮肤破损,无严重并发症。
    结论:Mammotome 技术是一项切除准确、有效、安全、创伤小、并发症少的乳腺微创技术, 可对乳腺良性病灶进行切除, 并可用于乳腺恶性肿瘤手术前活检。

    Abstract:

    Abstract:Objective:To investigate the value of clinical application of mammotome under ultrasonic guidance for minimal excision and biopsy of breast tumor.
    Methods :Excision and biopsy of 152 breast masses from 115 patients were performed using mammatome under ultrasonic guidance, and the patients were followed up.
    Results:Total resection of 152 breast tumors were accurately performed by mammotome vacuum device and biopsy was performed. On pathological examination, 86 cases were fibroadenoma,34 cases were adenosis, 2 cases were fat necrosis ,3 cases were gynecomastia, 1 case was ductal inflammatory change and 26 cases were breast cancer. Postoperatively, hematoma was found in 3 cases,subcutaneous ecchymosis in 4 cases and skin injury in one case. All cases were followed up for a period of time and no residual or recurrent masses were found.
    Conclusions:Mammotome vacuum system is an exact, effective and safe method. It is an ideal minimally invasive operation in treating benign breast masses with few complications. It can also be applied to biopsy for breast cancer before operation.

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张强, 李玉阳, 高德宗, 李亮, 余之刚. B超引导下Mammotome旋切系统在乳腺肿瘤中的应用:附115例报告[J].中国普通外科杂志,2007,16(11):9-106.
DOI:10.7659/j. issn.1005-6947.2007.11.009

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  • 在线发布日期: 2007-11-25