超声引导下乳腺肿块微创旋切术的应用
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[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、状瘤23个、乳腺癌3个。260例患者中乳腺癌3例，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）-0114-03
Application of ultrasound-guided minimally invasive atherectomy surgery of breast lumps
WU Zhao-jun HUANG Jian HUANG Zhi-yong
Department of Ultrasound，People′s Hospital of Maoming City in Guangdong Province，Maoming 525000，China
[Abstract] Objective To discuss about the application of ultrasound-guided minimally invasive atherectomy surgery of breast lumps. Methods 260 patients （with 462 beast lumps） who went ultrasound-guided minimally invasive atherectomy surgery of breast lumps in our hospital from Jan. 2010 to Jan. 2012 were chosen as research objectives.All the patients went Mammotome minimally invasive atherectomy surgery under the guidance of high frequency ultrasound.Retrospective analysis was performed to research about the efficacy of ultrasound-guided minimally invasive atherectomy surgery. Results Breast lumps were all successfully removed by ultrasound-guided Mammotome minimally invasive atherectomy surgery；The removal lumps were sent for pathological examination to explicit the nature of the masses.Among the 462 lumps，breast fibroadenoma or fibroadenosis with adenoma formation consists of 286 pieces，breast fibroadenosis consists of 107 pieces，breast cysts consists of 43 pieces，papilloma consists of 23 pieces，and breast cancer consists of 3 pieces.Among 260 patients，breast cancer consists of 3 cases，benign breast lumps consists of 257 cases，5 cases occured postoperative hematoma，13 cases occured subcutaneous ecchymosis，which were all able to gradually subside in follow-up. Conclusion The application of ultrasound-guided minimally invasive atherectomy surgery of breast lumps has clear clinical significance and advantages featuring safe minimally invasive，convenient，effective，easily acceptive and quickly recovery.It is a kind of minimally invasive approach to treat breast lumps that is worthy of clinical application.
[Key words] Mammotome atherectomy system；Ultrasound guidance；Breast lumps
乳腺肿块是妇女常见的乳腺疾病，其中约80%为良性病变，往往以单个的形式存在，形态不一且质较硬；同时该病可能发生转移，患者主要表现为腋下淋巴结肿大，小部分患者可能向颈部淋巴结、锁骨等部位转移。当乳腺肿块进一步恶化，可能引起乳腺癌，患者主要表现为消瘦、贫血、疲惫、纳差、乏力等一系列临床症状，对患者的生活质量及生命安全造成极大威胁[1]。近些年，乳腺肿块的发病率呈逐年上升的趋势，且恶化成为乳腺癌的发病率也不断增加，在女性妇科疾病中，仅次于宫颈癌，因此受到卫生部门的高度重视[2]。本研究选择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，回顾性分析260例患者在超声引导下微创旋切乳腺肿块的应用效果，旨在探讨分析超声引导下乳腺肿块微创旋切术的应用价值及疗效，现报道如下。