超声引导下Mammotome活检在乳腺纤维腺瘤中的应用.docVIP

超声导向Mammotome在乳腺良性实性肿块治疗中的应用 黄国福1，冷晓玲2 (，马富成2 (1.新疆医科大学第五附属医院肿瘤科；2..新疆医科大学附属肿瘤医院超声科；新疆，乌鲁木齐，830011) [摘 要] 目的：探讨高频超声引导乳腺肿块微创旋切术（Mammotome）治疗乳腺良性实质性病变的应用价值。方法：对750例1480个经临床及彩超诊断的乳腺良性肿块行高频超声导向旋切治疗，对引导情况及治疗效果进行评价。结果：高频超声引导成功率为87.91%，肿块小于0.5cm或大于2.5cm时，超声引导下微创旋切术的完全切除率小于直径在0.5cm至2.5cm之间的肿块（P0.05）,而对于0.5cm至1.0cm、1.0cm至1.5cm、1.5cm至2.0cm的肿块，完全切除率的差异无统计学意义。结论：高频超声引导Mammotome活检系统微创治疗乳腺良性肿块创伤小、疗效好，尤其适用于治疗直径0.5~2.5cm的乳腺良性实质性肿块。 [关键词] 高频超声；麦默通；乳腺肿块 Percutaneous excision of benign breast masses by Ultrasound-guided Mammotome HUANG guofu 1 LENG Xiao-ling2, MA Fu-cheng2 1.Department of Tumor Medicaine, Fifth Affiliated Hospital of Xinjiang Medical University; 2. Ultrasonography Department of Afiliated Tomor Hospital of XinJiang（830011） [Abstract] Objective To explore the clinical value of minimally invasive treatment of benign breast mass using ultrasound guided mammotome biopsy system. Methods 1480 benign breast masses in 750 patients were performed by high frequency ultrasound guided mammotome biopsy system. The results of ultrasound guidance and treatment were evaluated. Results Guide-succeeding tatio of high frequency ultrasound was 87.91%, the completely-excised ratio of lesions with size less than 0.5cm or more than 2.5cm was less than lthat of esions with size from 0.5 cm to 2.5 cm(P0.05).While to lesions with size from 0.5 cm to 1.0 cm, from 1.0 cm to 1.5 cm and that from 1.5 cm to 2.0 cm,there were no statistics differences among the completely-excised ratio of them. Conclusion For benign breast mass， ultrasound guided mammotome biopsy system was high therapeutic effect， significantlyinimal invasion and especially suitable for benign breast 0.5-2.5 cm insize. [Keywords] ultrasound; Mammotome; Benign breast mass 近来，诊断本研究的目的是准确性有效性2009年10月经钼靶或触诊发现乳腺病灶且经彩超证实的患者，具备 Mammotome活检术的适应证：肿物在3.0cm以内；临床不可触及或位置深、乳房体积较大、触诊不满意的肿物；多发肿物，只要手术过程顺利，可以进行多个病灶的连续切除；有美容要求的患者。排除以下禁忌证：乳晕部肿块紧邻大乳管，血供丰富，出血几率高；血液疑血功能不良或月经期、乳腺内有假体的，临床检查明显提示为恶性肿瘤的病人。在患者自愿的基础上选择Mammotome活检，共750例1480个肿块，年龄22~52岁，中位年龄