CAJ | 학술논문

目的探讨B超引导下Mammotome微创旋切系统对乳腺病灶的诊断与治疗的应用价值。方法对33例42处乳腺病灶进行了B超引导下Mammotome微创旋切术，评价其对乳腺病灶的诊治效果。结果 33例42处乳腺病灶中，25例34处病灶临床诊断为乳腺纤维腺瘤，均被Mammotome微创旋切切除，平均旋切15次，用时30min；6例为乳腺可疑病灶，2例临床诊断为Ⅲ期乳腺癌，均经Mammotome微创旋切术而获得明确诊断。操作无一例失败。这种方法皮肤伤口小，除1例有轻度皮下瘀血现象外无其它并发症。结论 B超能很好地引导Mammotome微创旋切系统进行乳腺小纤维腺瘤的微创切除术。对乳腺可疑病灶能明确诊断，若为良性可避免不必要的手术；若为恶性则能及时获得合理的治疗。
목적탐토B초인도하Mammotome미창선절계통대유선병조적진단여치료적응용개치。방법대33례42처유선병조진행료B초인도하Mammotome미창선절술，평개기대유선병조적진치효과。결과 33례42처유선병조중，25례34처병조림상진단위유선섬유선류，균피Mammotome미창선절절제，평균선절15차，용시30min；6례위유선가의병조，2례림상진단위Ⅲ기유선암，균경Mammotome미창선절술이획득명학진단。조작무일례실패。저충방법피부상구소，제1례유경도피하어혈현상외무기타병발증。결론 B초능흔호지인도Mammotome미창선절계통진행유선소섬유선류적미창절제술。대유선가의병조능명학진단，약위량성가피면불필요적수술；약위악성칙능급시획득합리적치료。
Objective To evaluate the application of ultrasound guided Mammotome minimally invasive biopsy system in the diagnosis and treatment of breast diseases. Methods The operations and biopsy for 42 breast lesions in 33 pa tients were performed by ultrasound guided Mammotome system, and the diagnostic and therapeutic values of Mammo tome were evaluated. Results 34 lesions in 25 patients were diagnosed as breast fibroadenoma and excised by the Mammotome system. The times of incision were 15 and the duration of operations was 30min. 6 clinically suspicious lesions and 2 stage Ⅲ breast cancer were confirmed by the system. Conclusion Application of Mammotome system in the excision of small breast fibroadenoma can be accurately guided by ultrasound. It can also be used to diagnose the suspicious lesions.