Mammotome微创旋切乳腺良性肿块临床应用.docVIP

Mammotome微创旋切乳腺良性肿块临床应用【摘要】目的:探讨Mammotome微创切除乳腺良性肿物的临床价值。方法:回顾分析40例女性47个乳腺良性肿物行B超引导下麦默通微创切除的临床资料。结果:47个肿物皆被准确切除,病理组织学诊断结果:16个为乳腺囊性增生病,乳头状瘤2个,5个为乳腺囊性增生症伴纤维腺瘤形成,乳腺纤维腺瘤10个,乳腺囊性增生病伴瘤样增生结节3个,乳腺腺病4个。结论:麦默通对乳腺良性肿物切除操作方便,切口微小,美容效果良好,可用于乳腺良性肿块的早期诊断和治疗。 【关键词】乳腺良性肿物;麦默通;切除 【中图分类号】R655.8 【文献标识码】A 【文章编号】1008-6455(2010)08-0099-01 Clinical application of mammotome in the excision of benign mammary mass. Zhao Zongbin Chen Guohua Li Wenfang 【Abstract】Objective:To investigate the value of excision of benign mammary mass with mammotome.Methods:Retrospectively reviewed the clinical materials of forty-seven benign mammary mass excised with the guiding of B-Type Ultrasonic of forty patients. Resuts:The forty-seven benign mammary mass were exactly excised with B-Type Ultrasonic guided mammotome. And the pathological results were sixteen cystic hyperplasia of breast,two papilloma,five atypical hyperplasia with tendency of formation offibroadinoma,ten fibroadinoma and three breast fibro cystic disease with knot-form hyperplastic nodules,four adenosis of breast. Conclusion:The excision of benign mammary mass with B-Type Ultrasonic was satisfactory.It could early been used to diagnose and therapy of benign mammary mass.guided mammotome was exact,convenient and the postoperative breast appearance. 【Key words】mammary benign mass;mammotome;excision 麦默通(Mammotome)乳腺微创旋切系统是一种对乳腺微小病变切除,并能取得足量乳腺组织进行病理诊断的微创技术。我们对2006年10月至2010年02月我科收治40例患者乳腺良性肿块应用Mammotome装置在B超监视下微创旋切,效果满意,现报告如下。 1 资料和方法 1.1 一般资料:2006年10月至 2010年06月收治40例乳腺体检发现微小肿块的女性患者,年龄:32～60岁。其中单乳单发33例,单乳双发肿块2例,双乳单发肿块2例,双乳单发肿块3例,肿块皆为实性,直径在0.5～2.5cm之间,共47个。 1.2 仪器与定位方法:Mammotome微创旋切系统为美国强生公司制造(SCM23/C型)。超声引导采用GElogic9多普勒超声诊断系统检查,探头频率10～12MHz。对肿块≥1.5cm的采用8G取样器进行切除,?1.5cm的采用11G取样器进行切除。 1.3 操作方法:定位:术前患者取仰卧位,同侧上肢外展,与手术时体位相同。用涂以无菌导声胶的B超探头,探测肿物形状、大小、边界、位于乳腺癌的象限、位于乳腺的深浅层、肿物距皮肤垂直距离,选择预穿进针点。麻醉:将1%利多卡因注射到病灶底部及穿刺创道,在预穿刺进针点用尖刀切开皮肤2mm,用旋切刀头按穿刺创道刺入并插入乳腺病灶深面,使目标病灶落在刀槽内。通过控制面板对病灶进行多次旋切、抽吸,直至超声影像显示无残留病灶。旋切过程用真空抽吸清除内部积血,最后证实无活动性出血,用无菌