摘要
目的:探讨B超引导下Mammo-tome真空辅助旋切系统在乳腺微创外科中的应用价值。方法:对我院2008-06-01-2010-05-31诊治的248例患者共366个乳腺病灶在B超引导下利用Mammotome系统进行手术切除。结果:术后病理学诊断3处病变为浸润性导管癌,2处病变为导管内癌,21处病变为中—重度不典型增生,340处病变为良性病变。5处病变为乳腺癌患者及21处病变为中度-重度不典型增生患者均接受后续开放性手术。所有病理确诊为良性病变患者术后3～12个月均接受B超随访,未发现术后病灶残留。结论:超声引导下Mammotome微创手术可对乳腺病灶进行完整切除,并能获得明确的病理组织学诊断,值得在临床应用中推广。
OBJECTIVE： To investigate the value of application in the minimally invasive surgery of breast for ultrasound-guided mammotome vacuum-assisted biopsy system. METHODS： From 06- 01-2008 to 05-31-2010, 248 cases with 366 breast lesions underwent minimally invasive surgery under ultrasound-guided mammotome sys- tem,and its value of application in the minimally invasive surgery of breast was evaluated retrospectively. RESULTS： Histological diag nosed infitrating ductal carcinoma in 3 lesions, Intraductal carcinoma in 2 lesions, moderate to severe atypical hyperplasia in 21 lesions and benign lesion in 340 lesions. Five cases with breast cancer and 21 moderate to severe atypical hyperplasia cases underwent the second open surgery. All cases with benign lesion were followed up 3 -- 12 months after surgery, and no operative residual breast lesions were found by the ultrasound examination. CONCLUSIONS： Ultrasoundguided mammotome operation can resect breast lesions completely and a determinative histopathologic diagnosis can be obtained. It is worth popularizing clinically.
出处
《中华肿瘤防治杂志》
CAS
2011年第8期610-612,共3页
Chinese Journal of Cancer Prevention and Treatment
关键词
乳腺肿瘤/外科学
外科手术
微创性/方法
超声引导
回顾性研究
breast neoplasms/surgery
surgical procedures
minimally invasive/methods
ultrasound-guided
retrospective studies
