B超引导下Mammotome微创旋切系统在乳腺良性肿块切除术临床应用.docVIP

B超引导下Mammotome微创旋切系统在乳腺良性肿块切除术临床应用【摘要】 目的 探讨B超引导下Mammotome微创旋切系统在乳腺良性肿块切除中的临床应用价值。方法 在B超引导下 Mammotome微创旋切系统对156例患者172个乳房良性肿块施行微创旋切术。结果 所有肿块均被准确、完全切除。每个肿块的切除时间平均为30 min， 旋切次数20次， 皮肤切口0．3~0．5 cm，9例穿刺点皮肤0．3 cm长微小疤痕；5例有局部轻度皮下瘀血；3例病原灶切除创面处有积血；无出现活动性出血、感染及其他并发症。结论 B超引导下Mammotome微创旋切系统切除乳房良性肿块，操作简易、准确、安全、创伤小，是一项值得推广的乳腺微创技术。 【关键词】麦默通旋切系统(Mammotome)；超声；乳腺；肿块 Clinical application of mammotome minimally invasive biopsy system for excision of 156 benign breast lumps CUI Li-min,GAO Feng,HUO Yan-ping,et al.Department of Breast and Surgery zhengzhou center hospital,Henan,zhengzhou 450000,China 【Abstract】 Objective To evaluate the clinical application of ultrasound guide mammotome minimally invasive biopsy system in resection of benign breast mass.Methods The operations and biopsy for 172 breast lesions in 156 patients were performed by ultrasound guided mammotome minimally invasive biopsy system.Results All of breast mass were resected safely and completely.The average incisions were 20 times and the mean operative time was 30 min.The length of incision was only 0．3-0．5 cm.9 cases with 0．3 cm minuteness scar on skin puncture locate were found,5 cases with local light gore were found,3 cases with excise focus amass were found.No activity bleeding,infection,and other operation complications were found.Conclusion It is simply,accurately,safely,and minimally invasive procedure to resect benign breast mass by ultrasound guide mammotome minimally invasive biopsy system,and which is a useful minimally invasive operation method. 【Key words】Mammotome；Ultrasound；Breast；Mass 乳腺肿块发病率随着生活水平提高而不断提高，乳腺肿块及时切除已成为外科医师的共识。传统手术存在着切口疤痕、影响美容、患者心理顾虑、微小肿块难定位等缺陷,导致疾病诊治延误。Mammotome微创旋切系统最初是用于乳腺微创活检的新技术，但其特殊的真空负压吸引装置和旋切系统使其应用于乳腺良性肿块微创切除。郑州市中心医院乳腺科从2005年11月至2007年9月，对156例乳房良性肿块患者施行B超引导下Mammotome乳腺良性肿块微创旋除术，取得满意疗效。 1 临床资料 1．1 一般资料 本组156例均为女性患者，年龄16~53岁，平均27岁。经临床手检及B超初步诊断为乳腺良性肿块共计172处。肿块大小0．5~4 cm。单侧乳房肿块 103例，双侧53例。其中内上象限35例，内下象限22例，外上象限78例，外下象限37例。142例临床可扪及0．5~4．0 cm肿块，肿块表面光滑、边界清、质韧、可移动