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麦默通微创旋切系统在乳房肿块切除中的应用:附7 079例乳房病灶手术病理结果
作者:朱晓萍  朱娟英  唐婕  蔡李芬 
单位:嘉兴市妇幼保健院乳腺科  浙江 嘉兴 314000 
关键词:乳腺肿瘤/外科学 乳腺肿瘤/病理学 外科手术 微创性/方法 早期诊断 手术后并发症 治疗结果 回顾性研究 
DOI:R737.9;R730.56
出版年,卷(期):页码:2018,33(1):81-85
摘要:

目的 探讨超声引导下麦默通微创旋切系统在乳房肿块切除术中的临床应用价值及其术后病理结果分析。方法 回顾性分析5 135例行超声引导下麦默通微创旋切手术的乳房肿块患者术后并发症和病理检查结果。结果 所有病灶中,1 708个为双侧乳房肿块,手术切除病灶为7 079个。术后167例(3.3%)患者发生并发症,包括术中出血22例、术后局部血肿131例、皮肤凹陷9例、肿瘤残留3例和皮肤损伤2例。术后乳房肿块病理检查结果示纤维腺瘤6 064个(85.9%)、乳腺腺病747个(10.6%)、导管内乳头状瘤96个(1.4%)、乳腺囊肿104个(1.5%)、导管上皮不典型增生29个(0.4%)、乳腺癌39个(0.6%)。39例乳腺癌微创切除术后,29例(74.4%)行保乳手术,术后病理分期0期12例,Ⅰ期25例,Ⅱ期2例。结论 对于乳房肿块患者,乳腺麦默通微创旋切系统可准确切除乳房病灶,早期诊断乳腺癌,术后并发症发生率低。

Objective To explore the application value of ultrasound guided Mammotome system in breast lump resection, and analyze the postoperative pathological results. Methods The postoperative complications and pathological results of 5 135 breast lump patients, who have received ultrasound guided Mammotome system operation, were retrospectively analyzed. Results Among all patients, 1 708 bilateral breast lumps were obtained, and the overall resection lesions were 7 079. After the surgery, 167 (3.3%) patients showed complications, including 22 cases of bleeding during operation and 131 cases of local hematoma, 9 cases of skin depression, 3 cases of tumor residue and 2 cases of skin injury after surgery. Postoperative pathological analyses detected 6 064 lesions (85.9%) of fibroadenoma, 747 lesions (10.6%)of breast adenosis, 96 lesions (1.4%) of intraductal papilloma, 104 lesions (1.5%) of galactoma, 29 lesions (0.4%) of atypical hyperplasia of ductal epithelium, and 39 lesions (0.6%) of breast cancer. Moreover, 29(74.4%) of 39 breast cancer patients received breast conserving surgery after the minimal invasive operation of breast cancer. For these patients, the final postoperative pathological results indicated 12 cases of365bet娱乐官网网址 stage 0, 25 cases of stage Ⅰ, and two cases of stage Ⅱ. Conclusion For breast lump patients, Mammotome system can resect lumps precisely and diagnose early breast cancer, with low rates of postoperative complications.

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