摘要
目的探讨超声引导下麦默通微创切除乳腺良性肿块的临床应用要点。方法626例女性患者共1012个乳腺肿块，在超声引导下行麦默通微创切除术，病理检查明确性质，术后3～6个月随访治疗效果。结果1012个乳腺肿块中，良性肿块1006个，乳腺癌灶6个，术中显示肿块均完整切除，单个肿块切除平均时间10min。21例出现各种并发症及术中不顺利情况。术后3～6个月随访，626例中605例效果满意，满意率达96．65％，其中8例于术后6个月内出现复发，复发率1．28％。结论麦默通微创切除乳腺良性肿块具有安全、微创，效果确切、术后美观的优点，以5～25mm肿块效果最佳，而对〉30mm的肿块效果不理想。
Objective To explore the clinicle application main points of benign breast mass using minimally invasive treatment of high frequency ultrasound guided Mammotome. Methods One thousand and twelve tumor of 626 gyno-patients underwent minimally invasive treatment of high frequency ultrasound guided Mammotome, the property of masses were identified by pathology and the gyno-patients were followed up after 3 months to 6 months later of operation. Results There were 1006 benign breast mass and 6 breast cancer in 1012 turnouts. Ultrasound showed that all the turnouts were completely removed with Mammotome. The patients were followed up after treatment, and the satisfaction rate was 96.65% （605/62%）. Eight cases relapsed during 6 months （8/626, 1.28%）. Conclusion High frequency ultrasound guided Mammotome is a minimally invasive, safe and accurate technique which does not influence the appearance of breast. It is especially suitable for 5-25 mm masses, but not suitable for benign breast mass which is bigger than 30 mm.
出处
《中国介入影像与治疗学》
CSCD
2008年第4期284-286,共3页
Chinese Journal of Interventional Imaging and Therapy
关键词
超声检查
介入性
麦默通
乳腺良性肿块
Ultrasonography, interventional
Mammotome
Benign breast mass
作者简介
张屹辉（1963-），男，辽宁沈阳人，硕士，主任医师。研究方向：乳腺病超声诊断与介入治疗。青岛大学医学院附属威海医院超声科，264200。E-mail：zyh0126zyh@163．com
