超声引导下乳腺肿块微创旋切术应用

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1、超声引导下乳腺肿块微创旋切术应用　　[摘要]目的探讨超声引导下麦默通微创旋切系统在乳腺肿块中的应用情况。方法选择2010年1月～2012年1月在本院住院并实行乳腺肿块超声引导下微创旋切术患者260例（共462个肿块）作为研究对象，患者均在高频超声引导下行麦默通微创旋切术，回顾性分析超声与微创旋切术的效果。结果给予超声引导下麦默通微创旋切术治疗后，所有患者的乳腺肿块均成功切除；切除肿块均送病理检查明确性质，462个肿块中，乳腺纤维腺瘤或纤维腺病伴腺瘤形成286个、乳腺纤维腺病107个、乳腺囊肿43个、乳头状瘤23个、乳腺癌3个。260例患者中乳腺癌3例

2、，乳腺良性肿块257例，术后血肿5例，皮下瘀斑13例，在随诊中均能逐渐消退。结论超声引导下乳腺肿块微创旋切术的应用，具有安全性高、创伤小、操作方便、疗效确切、患者易接受、恢复快等优点，临床意义十分重要，是值得推广的一种乳腺肿块微创治疗方法。[关键词]麦默通旋切系统；超声引导；乳腺肿块[中图分类号]R445.1[文献标识码]A[文章编号]1674-4721（2013）11（a）-0114-03Applicationofultrasound-guidedminimallyinvasiveatherectomysurgeryofbreastlumps4WU

3、Zhao-junHUANGJianHUANGZhi-yongDepartmentofUltrasound，People′sHospitalofMaomingCityinGuangdongProvince，Maoming525000，China[Abstract]ObjectiveTodiscussabouttheapplicationofultrasound-guidedminimallyinvasiveatherectomysurgeryofbreastlumps.Methods260patients（with462beastlumps）whowe

4、ntultrasound-guidedminimallyinvasiveatherectomysurgeryofbreastlumpsinourhospitalfromJan.2010toJan.2012werechosenasresearchobjectives.AllthepatientswentMammotomeminimallyinvasiveatherectomysurgeryundertheguidanceofhighfrequencyultrasound.Retrospectiveanalysiswasperformedtoresear

5、chabouttheefficacyofultrasound-guidedminimallyinvasiveatherectomysurgery.ResultsBreastlumpswereallsuccessfullyremovedbyultrasound-guidedMammotomeminimallyinvasiveatherectomysurgery；Theremovallumpsweresentforpathologicalexaminationtoexplicitthenatureofthemasses.Amongthe462lumps，

6、breastfibroadenomaorfibroadenosiswith4adenomaformationconsistsof286pieces，breastfibroadenosisconsistsof107pieces，breastcystsconsistsof43pieces，papillomaconsistsof23pieces，andbreastcancerconsistsof3pieces.Among260patients，breastcancerconsistsof3cases，benignbreastlumpsconsistsof2

7、57cases，5casesoccuredpostoperativehematoma，13casesoccuredsubcutaneousecchymosis，whichwereallabletograduallysubsideinfollow-up.ConclusionTheapplicationofultrasound-guidedminimallyinvasiveatherectomysurgeryofbreastlumpshasclearclinicalsignificanceandadvantagesfeaturingsafeminimal

8、lyinvasive，convenient，effective，easilyacceptiveandquic