CAJ | 학술논문

目的探讨超声引导下麦默通系统在切除乳腺良性肿物中的应用，并探索术后效果与肿物性质的相关性。方法回顾性分析2012年1月至12月应用超声引导下麦默通系统进行乳腺良性肿物切除的1143例女性患者的临床和随访资料，多元Logistic回归模型进行危险因素分析。结果共切除了2306个乳腺肿物。304例获随访，其中142例（46.7%）在原病灶处未发现残留病灶。多元Logistic回归分析显示含有多个、囊性以及较大肿物的乳腺在活检术后较易残留异常超声影。结论除穿刺针大小及随访间隔等因素外，活检术后效果还与乳腺肿物数量、性质及大小等特征有关。统一入组患者的病灶性质及其他相关因素在准确评估该术在临床中的应用具有重要的意义。
목적탐토초성인도하맥묵통계통재절제유선량성종물중적응용，병탐색술후효과여종물성질적상관성。방법회고성분석2012년1월지12월응용초성인도하맥묵통계통진행유선량성종물절제적1143례녀성환자적림상화수방자료，다원Logistic회귀모형진행위험인소분석。결과공절제료2306개유선종물。304례획수방，기중142례（46.7%）재원병조처미발현잔류병조。다원Logistic회귀분석현시함유다개、낭성이급교대종물적유선재활검술후교역잔류이상초성영。결론제천자침대소급수방간격등인소외，활검술후효과환여유선종물수량、성질급대소등특정유관。통일입조환자적병조성질급기타상관인소재준학평고해술재림상중적응용구유중요적의의。
Objective To evaluate the outcome of ultrasound-guided Mammotome system in completely removing benign breast lesions and to find out the clinicopathological factors that might be related with residual lesions with an emphasis on lesion characteristics. Methods The date of 1143 female patients with benign-presumed breast lesions from January to December 2012 in our department were retrospectively analyzed. Sonographic follow-up evaluation was performed with a mean interval of four months. Results Two thousand three hundred and six benign breast lesions were removed. Follow-up information was available in only 304 patients. 46.7%(142/304) of them did not have residual lesions. Multiple logistic regression analysis indicated that residual lesions at the former sites were more often observed in breasts with multiple, cystic and large lesions. Conclusions Besides such factors as needle size and follow-up interval, biopsy outcome is also related with lesion characteristics such as number, nature and size. Unifying the lesion characteristics is of clinical significance for accurately evaluating the biopsy procedure.