江汉大学学报(自然科学版) ›› 2014, Vol. 42 ›› Issue (1): 83-85.

• 医学 • 上一篇    下一篇

不可触及乳腺肿块B超引导下真空旋切术210例临床分析

赵建国,袁媛*   

  1. 江汉大学 附属医院普外科,湖北 武汉 430015
  • 出版日期:2014-02-25 发布日期:2014-04-14
  • 通讯作者: 袁媛
  • 作者简介:赵建国(1971—),男,副教授,副主任医师,研究方向:乳腺及甲状腺肿瘤的综合治疗。

B-mode Ultrasound Guided Vacuum Assisted Mammotome for Treatment of Non-palpable Breast Masses:A Clinical Analysis of 210 Cases

ZHAO Jian-guo,YUAN Yuan   

  1. Department of General Surgery,Affiliated Hospital of Jianghan University,Wuhan 430015,Hubei,China
  • Online:2014-02-25 Published:2014-04-14
  • Contact: YUAN Yuan

摘要: 目的:研究B超引导下真空旋切术切除不可触及乳腺肿块的临床价值。方法:210例452个不可触及乳腺肿块在B超引导下行真空旋切术。结果:210例患者共计切除452个肿块,最大径4~17 mm。1例术后发生乳房后间隙血肿,无其他严重并发症。其中良性肿块417个,恶性肿瘤35个,均后续行单纯乳房切除+Ⅰ、Ⅱ平面腋窝淋巴结解剖术。132例良性病例患者于术后3~6个月随访无残留以及复发;46例良性病例患者失访。结论:B超引导的真空旋切术是一种安全、有效、创伤轻、恢复快的手术方法。在不可触及的乳腺肿块的切除以及乳腺癌的早期诊断方面有巨大的价值。

关键词: 真空旋切术, B超引导, 不可触及乳腺肿块

Abstract: Objective:To study the clinical value of B-mode ultrasound guided vacuum assisted Mammotome for the treatment of non-palpable breast masses. Methods:210 cases with 452 non-palpable breast masses were taken B-mode ultrasound guided vacuum assisted Mammotome. Results:210 cases with 452 masses,maximum diameter ranged from 4-17mm were resected. No serious complications except postoperative hematoma in one case. Pathological diagnosis showed that:417 masses were benign,35 were malignant,which received breast resection and Ⅰ,Ⅱ level axillary lymph node dissection in next step. 132 cases of benign masses were followed-up after 3 - 6 months,no residue and recurrence;46 cases were lost.Conclusion:B-mode ultrasound guided vacuum assisted Mammotome is a safe,effective,slight trauma and rapid recovery operation method. There is great value for the treatment of non-palpable breast mass and early diagnosis of breast cancer.

Key words: vacuum assisted Mammotome, B-mode ultrasound guidance, non-palpable breast mass

中图分类号: