Mammotome微创旋切术治疗乳腺肿瘤680例分析

目的：探讨超声引导下Mammotome微创旋切系统对乳腺病灶进行微创切除的治疗价值。方法：在超声图像监控下,利用Mammotome系统对680例1 900个乳腺肿块进行切除及病理检查,并记录术后随访情况。对其进行回顾性分析,评价其在乳腺微创外科的应用价值。结果：680例1 900个乳腺肿块被准确地完全切除,切除组织量大,足够用于病理诊断,术后病理学诊断1例为恶性,其余均为良性。1175个肿块为纤维腺瘤,661个肿块为纤维腺病,19个肿块为导管内乳头状瘤,42个肿块为囊肿及囊性增生,2个肿块为管状腺瘤,1个肿块为乳腺小管癌。术后每3-6个月定期接受复查,术后切口小而隐蔽,瘢痕不明显,乳腺外形及皮肤感觉正常,超声未发现病灶残留,复发。结论：Mammotome技术对乳腺病灶可进行完整切除,是准确、有效、安全、美观、值得推广的乳腺微创技术。

Analysis of 680 Patients with Breast Tumor Using Mammotome Minimally Invasive Stereotactic Excision Therapy

Objective： To evaluate the therapeutic value of Minimally Invasive excision of breast lesions using ultrasound guided Mammotome Minimally Invasive Stereotactic Excision system. Methods： Under ultrasonographic image monitoring, 1 900 breast lumps of 680 patients were excised using Mammotome Minimally Invasive Stereotactic Excision system and sent for pathologic examinations. Patients＇ condition during post-operative followup were recorded. Restrospective analyses were done to evaluate the worth of minimally invasive breast surgery. Results： Accurate complete resection of 1900 breast lumps from 680 patients were performed. Each resected tissue was large enough for get ting pathologic diagnosis. One case of postoperative pathologic diagnosis was malignant, and the rest were benign. One thousand one hundred and seventy-five fibroadenoma, 661 fibroadenosis, 19 intraductal papilloma, 42 cyst or cystic hyperplasia, 2 tubular adenoma and 1 tubular breast cancer. Regular followup for 6-12 months was done. Postoperatively surgical incision was small and concealed, scars were unremarkable, breast outlook and skin sensation were normal and ultrasonography didn＇t find residual lesions as well as relapses. Conclusion： Using Mammotome technique complete resection of lesions can be done. This technique is safe, accurate and effective. Moreover there is small wound incision, good outlook and less complication. It is worth to be the general minimally invasive excision technique for benign breast lesions.