目的:探讨麦默通装置在乳腺微创外科中的应用。方法:44例共113个乳腺多发肿块均采用麦默通装置8G穿刺针在彩超引导下进行肿块切除术,术后送常规病理检查。结果:所有肿块均为完全切除,大小为0.4--5.5cm,56个为临床不可扪及的肿块,占49.6%,存在两种以上的病理改变9例,占20.5%,手术平均耗时12.5min,平均出血18.6mL。术后8例局部青紫,3例切口下血肿,均保守治疗后痊愈,无切口感染与瘢痕发生。结论:彩超引导下麦默通乳腺微创旋切术是一种早期诊治乳腺肿瘤安全、合理、有效、符合美学观点的方法,尤其适用于多发和无法触及的肿块。
Citation:
FENG Guobin,XU Jiudong,ZHU Jun,et al.. Application of Utrasound guided Mammotome Vacuum Device on the Microinvasive Surgery of Breast. West China Medical Journal, 2009, 24(6): 1483-1485. doi:
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- 5. PARKER S H, STAVROS A T, DENNIS M A. Needle biopsy techniques[J]. Radiol Clin North Am,1995,33(6):1171-1172..
- 6. BECETTE V, CHEREL P. Biopsy of breast microcalcifications using an 11Gauge vacuumassisted device: roles and challenges for the pathologist[J]. Ann Pathol,2003,23(6):496-507..
- 7. SITTEK H, KESSLER M. Minimally invasive biopsy and preoperative marking of suspect mammary lesions[J]. Gynakol Geburtshilfliche Rundsch,2004,44(2):69-83..
- 8. 续哲莉,边学海.Mammotome微创旋切系统在乳腺外科中的应用[J].中国微创外科杂志,2005,9:754..
- 9. MELONI G B, DESSOLE S, BECCHERE M P, et al. Ultrasoundguided Mammotome vacuum biopsy for the diagnosis of impalpable breast lesions[J]. Ultrasound Obestet Gynecol,2002,18(5):520..
- 10. SPERBER F, BLANK A, METSER U, et al. Diagnosis and treatment of breast fibroadenomas by ultrasoundguided vacuumassisted biopsy[J]. Arch Surg,2003,138(7):796-800..