CAJ | 학술논문

目的：探讨超声引导下微创旋切术治疗乳腺良性肿块临床效果。方法对60例乳腺良性肿块患者，在超声引导下采用巴德微创旋切技术治疗单发、多发乳腺肿块，手术时间为1～45 min，平均为25 min；术后3～6个月临床查体结合超声检查均未发现局部病灶残留和复发，切口瘢痕形成不明显。结果60例患者手术时均能实时超声监测下进行，显示率100％；微创旋切手术能够完整切除乳房肿块。切除肿块病理分型：纤维腺瘤25例、囊肿2例、乳腺囊性增生3例、乳腺腺病12例、脂肪瘤3例、叶状肿瘤1例，其他14例兼顾二项诊断。结论超声引导下巴德旋切系统对乳腺良性肿块穿刺准确、切除率高、创伤小、操作安全，是符合美学观点的治疗方法。
목적：탐토초성인도하미창선절술치료유선량성종괴림상효과。방법대60례유선량성종괴환자，재초성인도하채용파덕미창선절기술치료단발、다발유선종괴，수술시간위1～45 min，평균위25 min；술후3～6개월림상사체결합초성검사균미발현국부병조잔류화복발，절구반흔형성불명현。결과60례환자수술시균능실시초성감측하진행，현시솔100％；미창선절수술능구완정절제유방종괴。절제종괴병리분형：섬유선류25례、낭종2례、유선낭성증생3례、유선선병12례、지방류3례、협상종류1례，기타14례겸고이항진단。결론초성인도하파덕선절계통대유선량성종괴천자준학、절제솔고、창상소、조작안전，시부합미학관점적치료방법。
Objective To investigate the clinical effect of Ultrasound-guided minimal invasion technique used in the diagnosis and treatment of benign breast tumor .Methods 60 cases of benign breast tumors , including single or multiple breast lumps ,were treated using minimally invasive technology under the guidance of ultrasound . The average operation time was 25min.Through 3-6months after operations ,any residue and recurrence at local lesion were not found by clinical and ultrasonic examination , and incision scar formation was not clear .Minimally invasive operation can completely amputate breast tumors .Results Under real time ultrasound monitoring ,all the 60 cases of operation had 100%of display rate.The tumor pathologic classification is as follows:25cases of fibroadenomas ,2 ca-ses of cyst ,3 cases breast cystic hyperplasia ,12 cases of adenosis of mammary glands ,3 cases of lipoma of the breast and one case of phyllodes tumor .The other 14 cases have both two kinds of pathological types .Conclusion The system of ultrasound-guided minimally invasive technology can accurately puncture benign breast tumor with high re -section rate,small trauma and is operated safely .It is a therapeutic method and consistent with the opinion of cosme-tology.