中国医学创新目次Mammotome系统切除不同深度乳腺良性肿块的方法研究.docVIP

中国医学创新目次Mammotome系统切除不同深度乳腺良性肿块的方法研究 　　【摘要】 目的：探讨运用Mammotome微创旋切术切除不同深度乳腺良性肿块的方法和技巧。方法：对140例215处非乳头乳晕区乳腺良性肿块进行超声引导下Mammotome微创旋切术，根据肿块位于乳房的不同深度，将其分为4种：后间隙肿块、腺体内肿块、近腺体表面肿块、皮下肿块，术后随访6个月明确治疗效果。结果：140例患者共切除肿块215个，直径5～25 mm，其中，后间隙肿块51个，腺体内肿块109个，近腺体表面肿块45个，皮下肿块10个，病理均证实为良性；3例术后出现皮肤瘀斑，1例出现明显血肿，术后6个月随访无复发。结论：超声引导下的Mammotome微创旋切术适用于不同深度的非乳头乳晕区乳腺良性肿块，适当运用方法技巧，能避免不必要的损伤，减少病灶残留。 　　【关键词】 Mammotome； 深度； 乳腺肿块 　　【Abstract】 Objective： To explore the methods and techniques using Mammotome Minimally invasive resection of the rotation in different depth of benign breast tumor. Method： 215 nipple areola benign breast tumors in 140 cases were conducted by Mammotome Minimally invasive resection of the rotation under the guidance of ultrasound， and it caould be divided into four kinds： the lumps， glands tumors after clearance， nearly glands on the surface of lumps， subcutaneous tumor according to the different depth of lumps in the breast. We cleared the therapeutic effect by following-up 6 months of the postoperative. Result： The number of total resection of tumors in 140 patients was 215 which included 51 in the back clearance， 109 in the breast glands， 45 near the surface of glands， 10 under the skin. The diameter of the tumors were 5-25 mm， and all of them were confirmed benign by pathology， but 3 cases of postoperative occurrence skin ecchymosis and 1 case apparent hematoma. There was no relapse in all the postoperative after 6 months following-up. Conclusion： Mammotome Minimally invasive resection of the rotation under the guidance of ultrasound applies to different depth of nipple areola area benign breast tumor. We can avoid unnecessary damage and reduce the residual lesions by the proper use of techniques. 　　【Key words】 Mammotome； Depth； Breast lumps/tumor 　　First-author’s address： The First Affiliated Hospital of Gannan Medical University， Ganzhou 341000， China 　　doi：10.3969/j.issn.1674-4985.2014.22.018 　　女性良性肿块的发病率越来越高，传统的开放手术切除方法，切口留有瘢痕，影响美观，已不能满足广大女性的审美要求。美国强生公司于19