CAJ | 학술논문

目的探讨Mammotome技术在乳腺肿块诊断和治疗的价值.方法 710例女性患者共987个占位灶在超声引导下行Mammotome切除活检术,术后病理明确诊断,如是恶性者及时手术根治;定期随访,记录并发症情况和满意度.结果除1例外其余手术均操作成功,取材充分,满足病理诊断需求,活检成功率99.8%;16例乳腺癌的诊断敏感性和特异性均为100%;完全切除率为99%;微小切口长约3 mm,美观效果好;并发症轻微,以血肿和瘀斑为主;患者满意度为93%.结论这一技术在实现乳腺肿块活检和良性肿块切除的同时,有良好的美观效果.要重视进一步减少病灶残余机会和出血性并发症.
목적 탐토Mammotome기술재유선종괴진단화치료적개치.방법 710례녀성환자공987개점위조재초성인도하행Mammotome절제활검술,술후병리명학진단,여시악성자급시수술근치;정기수방,기록병발증정황화만의도.결과 제1예외기여수술균조작성공,취재충분,만족병리진단수구,활검성공솔99.8%;16례유선암적진단민감성화특이성균위100%;완전절제솔위99%;미소절구장약3 mm,미관효과호;병발증경미,이혈종화어반위주;환자만의도위93%.결론 저일기술재실현유선종괴활검화량성종괴절제적동시,유량호적미관효과.요중시진일보감소병조잔여궤회화출혈성병발증.
Objective To summarize and explore the clinical value of Mammotome technology in the diagnosis and treatment of breast neoplasms. Methods Nine hundred and eighty-seven breast neoplasms of 710patients were biopsied and excised with the aid of ultrasound-guided Mammotome system. The malignant neoplasms,according to the histological report,were radically removed during the operation without delay. All patients enrolled into the study were followed up closely on the complcations and satisfaction degree. Results All the operations except one were successful and got the sufficient specimen to perform the pathological examination,the biopsy achievement rate was 99. 8% . Both the sensitivity and specificity of the diagnosis were 100% in 16 breast tumors. Complete resection rate was 99%. The incision length was about 3 mm,showing good cosmetic outcome. Complcations were mild,mainly composed of haematoma and ecchymosis. The patients' general satisfactory rate was 93%. Conclusions This technique can help achieve biopsy of breast neplasm and excision of benign lesions at the same time with cosmetic result Further attention should be paid to reduce the lesion residue and hemorrhagic complications.