CAJ | 학술논문

目的：探讨运用Mammotome微创旋切术切除不同深度乳腺良性肿块的方法和技巧。方法：对140例215处非乳头乳晕区乳腺良性肿块进行超声引导下Mammotome微创旋切术，根据肿块位于乳房的不同深度，将其分为4种：后间隙肿块、腺体内肿块、近腺体表面肿块、皮下肿块，术后随访6个月明确治疗效果。结果：140例患者共切除肿块215个，直径5~25 mm，其中，后间隙肿块51个，腺体内肿块109个，近腺体表面肿块45个，皮下肿块10个，病理均证实为良性；3例术后出现皮肤瘀斑，1例出现明显血肿，术后6个月随访无复发。结论：超声引导下的Mammotome微创旋切术适用于不同深度的非乳头乳晕区乳腺良性肿块，适当运用方法技巧，能避免不必要的损伤，减少病灶残留。
목적：탐토운용Mammotome미창선절술절제불동심도유선량성종괴적방법화기교。방법：대140례215처비유두유훈구유선량성종괴진행초성인도하Mammotome미창선절술，근거종괴위우유방적불동심도，장기분위4충：후간극종괴、선체내종괴、근선체표면종괴、피하종괴，술후수방6개월명학치료효과。결과：140례환자공절제종괴215개，직경5~25 mm，기중，후간극종괴51개，선체내종괴109개，근선체표면종괴45개，피하종괴10개，병리균증실위량성；3례술후출현피부어반，1례출현명현혈종，술후6개월수방무복발。결론：초성인도하적Mammotome미창선절술괄용우불동심도적비유두유훈구유선량성종괴，괄당운용방법기교，능피면불필요적손상，감소병조잔류。
To explore the methods and techniques using Mammotome Minimally invasive resection of the rotation in different depth of benign breast tumor. Method:215 nipple areola benign breast tumors in 140 cases were conducted by Mammotome Minimally invasive resection of the rotation under the guidance of ultrasound,and it caould be divided into four kinds:the lumps,glands tumors after clearance,nearly glands on the surface of lumps,subcutaneous tumor according to the different depth of lumps in the breast. We cleared the therapeutic effect by following-up 6 months of the postoperative. Result:The number of total resection of tumors in 140 patients was 215 which included 51 in the back clearance,109 in the breast glands,45 near the surface of glands,10 under the skin. The diameter of the tumors were 5-25 mm,and all of them were confirmed benign by pathology,but 3 cases of postoperative occurrence skin ecchymosis and 1 case apparent hematoma. There was no relapse in all the postoperative after 6 months following-up. Conclusion:Mammotome Minimally invasive resection of the rotation under the guidance of ultrasound applies to different depth of nipple areola area benign breast tumor. We can avoid unnecessary damage and reduce the residual lesions by the proper use of techniques.