Mammotome在乳腺疾病诊断和治疗中应用价值的评价-东南大学学报医学版

Mammotome在乳腺疾病诊断和治疗中应用价值的评价

作者：曹苏生¹ 王伟¹ 刘军¹ 张佳青² 张家新¹ 袁补全¹ 刘大跃² 鹿存涛¹ 刘茹³ 刘敏³

单位：1.东南大学医学院附属徐州医院,乳腺甲状腺外科,江苏,徐州,221009； 2.东南大学医学院附属徐州医院,科教科,江苏,徐州,221009； 3.东南大学医学院附属徐州医院,影像科,江苏,徐州,221009

分类号：R655.8

出版年·卷·期（页码）：2005·24·第六期（420-423）

摘要：

目的:探讨Mammotome乳腺旋切系统在乳腺疾病诊断和治疗中的应用价值.方法:应用Mammotome对112例乳腺良、恶性肿瘤进行切除和活检,并对其结果进行评价.结果:病理诊断乳腺纤维瘤82例,乳腺癌22例,乳腺囊性增生症6例,重度不典型增生2例.2例术中皮肤破损,3例出现较大血肿,1例术后2 d切口及针道发红经抗炎治疗后消退,5例皮下轻度青紫.结论:Mammotome乳腺旋切活检系统具有手术微创、定性准确、切口隐蔽、不需缝合、康复快等优点,在乳腺疾病诊断和治疗中具有很高的应用价值.

Objective To evaluate the role of Mammotome device in diagnosis and treatment of breast disease.Methods 112 cases underwent biopsy in Mammotome vacuum-assisted breast system from Feb.2004 to Mar.2005,and the results were analyzed.Results According to pathological diagnosis,82 cases were breast fibroadenoma,22 cases were breast cancer,6 cases were breast cystic hyperplasia,2 cases were severe atypical hyperplasia.During the process skin damage was seen in 2 cases.Post?operative hematoma occurred in 3 cases,puncture access infected in 1 case,subcutaneous bruise occurred in 5 cases.Conclusion The Mammotome device has the advantages of minimal invasiveness,exact position,covert incision,needing no suture and short rehabilitation period,it is highly valuable in diagnosis and treatment of breast disease.

参考文献：

[1] 沈镇宙, 邵志敏. 现代乳腺肿瘤学进展, 2002
[2] 郭仁宣. 乳腺癌外科学, 2003
[3] 张斌. 乳腺癌综合治疗. 中国实用外科杂志2003(10)
[4] BURBANK F. Stereotactic breast biopsy:comparison of 14-and 11gauge Mammotome probe performance and complication rates, 1997(11)
[5] 郇金亮, 王强, 邢丽. 钼靶X线检查及Mammotome微创旋切在乳腺疾病诊治中的应用. 中国实用外科杂志2004(2)
[6] 郭仁宣. 乳腺癌外科学, 2003

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