超声引导下Mammotome微创旋切系统在乳腺良性病变切除术中的应用

目的探讨超声引导下Marnmotome微创旋切系统往切除乳腺良性病变中的应州价值。方法86例乳腺肿瘤患者，115个乳腺肿块，经超声或X线钼靶检查，结合临床初步诊断为良性病变，在超声引导下应用Mammotome微创旋切系统治疗，同时行病理检查。结果乳腺病灶在超声引导下均被完全切除，每个肿块手术时间（20±10）min，平均旋切次数15次，皮肤切口0．25～0．4cm。1例出现切口下血肿，2个月后完全吸收，5例出现皮下淤血癍，术见感染．结论超声引导下Mammotome微创旋切乳腺良性病变，具有创伤小、并发症少、恢复快、乳房表面不留疤痕等优点，是一种值得推广的乳腺病变微创治疗方法。

Applicantion of ultrasound-guided vacuum-assisted biopsy (mammotome) in breast benign lesions

Objective To evaluate the clinical application of ultrasound - guided vacuum - assisted biopsy （mammotome） in breast benign lesions. Methods The operations and biopsy of 115 breast lesions in 86 patients were performed by ultrasound - guided vacuum - assisted biopsy （mammotome）. Results All of breast masses were resected completely. The operative time was 20 ± 10 min. The length of incision was only 0.25 - 0.4cm. Five cases were with local congestion,1 case with haematoma under incision. No infection was found. Conclusion Mammotome operation shows many benefits as less trauma ,fewer complications and more rapid recovery with scar- free breast skin,It is a useful minimally invasive treatment of breast benign lesions.