超声引导细刀头氩氦刀经皮冷冻治疗乳腺纤维腺瘤临床探究.docVIP

超声引导细刀头氩氦刀经皮冷冻治疗乳腺纤维腺瘤临床探究[摘要]目的：探讨细刀头氩氦刀靶向冷冻治疗乳腺纤维腺瘤的临床应用价值。方法：在彩色超声引导下应用Cryo-Hit氩氦刀对23例乳腺纤维腺瘤经皮靶向冷冻治疗。结果：23例冷冻治疗后无感染、休克、血小板减少等并发症发生。术后随访6～24月，彩超检查19例病灶消失，4例病灶缩小约60%，再次治疗后病灶消失；23例乳腺皮肤均无瘢痕存留。结论：彩色超声引导细刀头氩氦刀经皮靶向冷冻治疗乳腺纤维腺瘤是安全、有效、操作简便的一种方法，可以避免常规手术切除遗留瘢痕的缺点。 [关键词]彩色超声引导；冷冻疗法；乳腺纤维腺瘤 [中图分类号]R622 [文献标识码]A [文章编号]1008-6455（2009）01-0030-03 Color Doppler flow imaging（CDFI）guided percutaneous targeted Argon-Helium cryoablation in the treatment of fibroadenoma of breast WU Wen-yi, ZHANG Li-ting, WANG Zhao-yang, ZHU Shi-ze, LI Shi-lin （Deparent of Plastic Surgery,the Second Affiliated Hospital of Fujian Medical University,Quanzhou 362000,Fujian,China） Abstract:ObjectiveTo investigate the effectineness of percutaneous targettd Argon-Helium cryoablation in the treatment of fibroadenoma of breast. MethodsCDFI-guided Argon-Helium targeted cryoablation using the Cryo-Hit system was performed percutaneously in 23cases of fibroadenoma of breast.ResuitsThere were no complications such as infection、shock、platecet reduction disease. A follow-up survey was carried out for 6～24 months. CDFI examinations found that tumors of 19 cases were disappeared and 4 caeses were made a 60% reduction. The four cases tumors were disappeared by received cryoablation again. There were no scar left on the received cryoablation breast skins.ConclusionsCDFI-guided targeted Argou-Helium cryoablation using the fine-proble Cryo-Hit system is a safe, effective and simple procedure for the treatment of fibrodenoma of breast and it can avoid the left scar in contrast with the routine surgery. Key words：CDFI-guided; cryoablation; fibroadenoma of breast 乳腺纤维腺瘤是一种常见的乳腺肿瘤，约占女性乳腺良性肿瘤的75%，高发年龄20～25岁，由于本病有癌变及肉瘤变可能，故必须进行有效治疗。现有唯一治疗方法是手术切除，但此法缺点是：①手术后乳腺上留有瘢痕，对于青年女性来说（本病好发年龄段）是一种极其无奈的选择，甚至给部分患者造成心理障碍（自卑感）；②手术是一种创伤，给患者造成术中、术后疼痛和不适。本法是利用冷冻可造成细胞不可逆死亡的原理，在超声引导下经皮冷冻治疗，克服了上述缺点，具有治疗后不留瘢痕，病人乐于接受，免除患者手术痛苦，损伤小、恢复快等优点，为病人提供了一个安全有效、新型微创的可供选择的外科治疗新方法。2006年1月至2007年12月我院采用该方法治疗乳腺纤维腺瘤23例，现报道如下。 1资料和方法 1.1一般资料：本