麦默通微创旋切手术治疗乳腺肿物与活检应用.docVIP

麦默通微创旋切手术治疗乳腺肿物与活检应用 　　[摘要] 目的 探讨麦默通微创旋切手术对于乳腺肿物诊疗的应用[1]，评价其临床应用价值。 方法 对于2011年5月～2012年5月在浙江省宁波市妇女儿童医院进行治疗的281例乳腺肿物患者，采用麦默通微创旋切手术对患者进行诊断及治疗，并观察患者的临床疗效。 结果 281例乳腺肿物全部成功切除，其中乳腺癌3例，其余278例均为良性病变。所有患者均进行麦默通微创旋切手术，3例乳腺癌，其中2例行乳癌改良根治术，1例行乳房切除加前哨淋巴结活检术；术后病理组织中，均未见有癌细胞残留。对278例良性患者进行随访，平均随访时间9个月（6～12个月），其中5例出现血肿，在3个月后完全吸收；14例出现皮下瘀血，2周后自行吸收；3例乳头出现溢血，2周后症状消失；超声检查未发现肿块复发。 结论 麦默通微创旋切手术对于治疗良性乳腺肿物患者的治疗效果较好，对于体表不能触及且肿块较小的乳腺癌可以起到早期活检确诊的目的，是一种操作简单、创伤小、并发症少且安全、美观的临床治疗手段，能较好地服务于乳腺肿物的良性病变治疗和早期恶性病变活检。 　　[关键词] 麦默通；微创旋切手术；乳腺肿物；活检 　　[中图分类号] R737.9 [文献标识码] A [文章编号] 1673-7210（2014）01（b）-0076-03 　　The application of surgery and biopsy of the breast neoplasm with Mammotome minimally invasive rotary cutting technics 　　ZHANG Jing LI Zhanwen LIU Chun ZHANG Bing YANG Huafeng TANG Lubing FAN Fengfeng ZHONG Zhenhua 　　The Fourth Department of Surgery， Ningbo Women Children′s Hospital， Zhejiang Province， Ningbo 315000， China 　　[Abstract] Objective To discuss the use of Mammotome minimally invasive rotary cutting operation for diagnosis and treatment of mammary gland disease， and to evaluate its value of clinical application. Methods 281 patients with breast neplasm had been diagnosed and treated by Mammotome operation from May 2011 to May 2012 in Ningbo Women Children′s Hospital， whose clinical curative effects were observed. Results The total 281 cases were excised completely， among which 3 cases were diagnosed as breast cancers and the rest of 278 cases were benign lesions. Among 3 cases of breast cancers， 2 cases of breast cancers were undergoing breast cancer modified radical and another 1 case was of mastectomy plus sentinel lymph node biopsy. Cancer cells were not found in postoperative pathological tissues. The follow-up mean time for 278 benign patients was nine months （6-12 months）. 5 cases patients masses with hematoma was bigger， which had been completely absorbed within 3 months. 14 cases of subcutaneous blood stasis were absorbed in two weeks. 3 cases patients′nipples spilled blood