麦默通旋切系统在乳腺微创外科应用.docVIP

麦默通旋切系统在乳腺微创外科应用【摘要】目的:探讨麦默通旋切系统在乳腺疾病的诊断和治疗中的应用价值。方法: 回顾性分析2009年7月～2010年5月在我院行麦默通乳腺微创旋切术的230例患者的临床资料。结果:用麦默通旋切系统完整切除230例患者中的436处病灶,无一例漏诊,切口长0.3cm～0.4cm,并发术后血肿3例、皮肤淤斑2例,无术中出血、切口感染、皮肤破损、病灶残留等并发症。结论:乳腺麦默通旋切术能完整切除病灶,具有定位准确、并发症少、美容效果好等优点,是安全、有效的乳腺微创技术。 【关键词】乳腺疾病;麦默通旋切系统;微创手术 【中图分类号】R655.8 【文献标识码】A 【文章编号】1008-6455(2010)08-0108-02 Application of Mammotome Biopsy System in Minimally Invasive Breast Surgery Li Jianwen?1 Huang Shengchao?1 Chen Xiaodong?1 Ding Hongfei?1 Xu Xiaohong?2 Huang Haiyan?2 【Abstract】Objective:To investigate the value of Mammotome biopsy system in the diagnosis and therapy of breast disease.Methods:The clinical data of 230 patients with breast disease underwent Mammotome biopsy from July 2009 to May 2010 were retrospectively reviewed. Results:The 436 lesions of 230 patients were resected completely by Mammotome biopsy system. No one case of missed diagnosis. The length of incision was 0.3cm-0.4cm. The surgical complications were hematoma in 3 patients and petechia in 2 patients. There were no serious complications such as bleeding, wound infection, skin damage and residual lesions. Conclusions:Complete resection of breast lesions can be done with Mammotome biopsy system. The advantage of the technique is accurate positioning, fewer complications and satisfactory cosmetic effect. It is safe and feasible technique in minimally invasive surgery. 【Key words】Breast disease; Mammotome biopsy system; Minimally invasive surgery 麦默通旋切系统(Vaccum-Assisted Mammotome Biopsy System, 真空辅助抽吸旋切装置)是通过微创外科手术的方法对乳腺疾病诊疗的一种新治疗系统,不仅能达到对乳腺疾病诊疗的目的,而且更满足了患者的美容要求[1]。我院乳腺外科自2009年7月～2010年5月使用麦默通旋切系统完成230例乳腺疾病的诊疗,现报道如下。 1 资料与方法 1.1 一般资料:所有患者均为女性,年龄18～53岁,中位年龄27岁;病程1天～3年;首发症状为触及乳房肿块者123例,为乳房疼痛者86例,因常规体检发现的无症状者21例;临床可触及肿块者193例,仅在超声检查时发现病灶者37例;单侧171例,双侧59例;单发病灶145例,多发病灶85例。 1.2 主要仪器:美国强生公司生产的麦默通旋切系统,包括8G旋切刀头、真空抽吸泵、操作手柄、控制器等。术前检查定位用的彩色多普勒超声仪为西门子-2000,术中引导穿刺活检用的彩色多普勒超声仪为ALOKA-3500。 1.3 术前准备:术前详细询问是否患有出血性疾病史及月经情况。常规检查血常规及凝血功能。所有患者术前均行常规彩超检查双侧乳房及腋窝淋巴结,并将病灶