[1]吕振海,贾志芳.超声引导微创旋切术治疗乳腺肿块220例报道[J].中国微创外科杂志,2010,10(12):1068-1069.
　.Lü Zhenhai,Jia Zhifang..Mammotome Minimally Invasive Biopsy System for the Treatment of Breast Lumps: Report of 220 Cases[J].Chinese Journal of Minimally Invasive Surgery,2010,10(12):1068-1069.
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超声引导微创旋切术治疗乳腺肿块220例报道()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
10
期数:
2010年12期
页码:
1068-1069
栏目:
出版日期:
2010-12-31

文章信息/Info

Title:
Mammotome Minimally Invasive Biopsy System for the Treatment of Breast Lumps: Report of 220 Cases
作者:
吕振海; 贾志芳
解放军第251医院腺体外科，张家口075000
Author(s):
.Lü Zhenhai;  Jia Zhifang.
Department of Breast Surgery, 251th Hospital of PLA, Zhangjiakou 075000, China
关键词:
乳腺肿瘤; 微创旋切系统; 超声
Keywords:
Breast tumor; Mammotome minimally invasive biopsy system; Ultrasound guidance
分类号:
R737.9
文献标志码:
A
摘要:
目的探讨超声引导下微创旋切系统在乳腺肿块诊断和治疗中的价值。方法对我院2006年10月~2010年3月经超声引导Mammotome微创旋切术治疗的乳腺肿块220例疗效进行回顾性分析。临床可触及肿块137例，不可触及而超声检查出肿块83例。220例中有病灶共287个，单发病灶153例，多发（2~5个）病灶67例，肿块0.1~2.8 cm。结果 所有乳腺病灶被准确完全切除。切除组织标本均行病理检查，乳腺纤维腺瘤225个，乳腺腺病22个，乳腺腺病伴纤维腺瘤形成17个，乳腺囊肿11个，导管内乳头状瘤8个，早期乳腺癌4个（4例，经再次手术局部切除、保乳，无针道种植）。局部血肿2例，经局部引流治愈。全组随访3~36个月，平均17个月，1例术后3个月局部复发（可能为残余肿瘤组织生长），再次微创旋切。结论超声引导微创旋切术治疗乳腺肿块是一项创伤小、并发症少、安全有效的微创技术，对良性肿瘤能够完全切除；对恶性肿瘤提供足够的病理组织。
Abstract:
ObjectiveTo evaluate the value of ultrasoundguided Mammotome minimally invasive biopsy system in the diagnosis and treatment of breast lumps. MethodsWe retrospectively analyzed 220 cases of breast lumps, who were treated with ultrasoundguided Mammotome minimally invasive biopsy system in our hospital from October 2006 to March 2010. Among the patients clinically palpable mass was detected in 137 patients, and impalpable lesions were detected by ultrasonography in the other 83 patients. The size of the lumps ranged from 0.1-2.8 cm. In the 220 cases, totally 287 lumps were detected ［single lesion in 153 patients, and multiples lesions (2-5 lesions) in the other 67 cases］. ResultsAll the lumps were resected accurately and completely. Pathological examination showed fibroadenoma in 225 lumps, adenosis in 22, adenosis complicated with fibroadenoma in 17, breast cyst in 11, intraductal papilloma in 8, and early breast cancer in 4 (these 4 cases then received regional resection with conservation of the breast, and implantation through a nonneedle approach). After the surgery, 2 patients developed regional adenoma, and then was cured by drainage. The patients were followed up for 3-36 months with a mean of 17 month. One of them showed local recurrence (could be the growth of residual tumor tissues) and thus received a second surgery by using the Mammotome system. ConclusionsMammotome minimally invasive biopsy system is less traumatic, safe, and effective for breast tumor with a few complications. It can provide complete resection for benign breast tumor, and sufficient sample tissues for pathological examination in cases of malignant cancers.

参考文献/References:

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[2]Chan SW,Cheung PS,Chan S,et al.Benefit of ultrasonography in the detection of clinically and mammographically occult breast cancer.World J Surg,2008,32（12）：2593-2598.
[3]张静霞，蒋劲松，袁宏钧.Mammotome微创旋切刀在乳腺疾病诊治中的应用(附45例报告).中国微创外科杂志，2005,5(9):760-761

更新日期/Last Update: 2013-08-12