CAJ | 학술논문

目的探讨超声引导下麦默通微创旋切系统(MMT)在乳腺微创外科围术期的应用价值.方法在高频及三维超声引导下对386例乳腺肿块患者的546处乳腺病灶应用MMT微创切除和(或)活检术,分析在乳腺微创外科中的应用价值.结果术中超声检查证实肿块完整切除.病理结果显示良性病变378例538处肿块,其中乳腺纤维瘤372处肿块,乳腺腺病148处肿块,乳腺导管内乳头状瘤18处肿块.恶性病变8例8处肿块,其中非浸润性导管癌3例,小叶原位癌5例.术后临床和超声检查定期随访均未发现肿块复发.结论超声引导下麦默通旋切系统对3 cm以下乳腺病灶可进行微创完整切除并可获得明确的病理学诊断,具有定位准确、安全可靠、穿刺创伤小、并发症少等优点.
목적 탐토초성인도하맥묵통미창선절계통(MMT)재유선미창외과위술기적응용개치.방법 재고빈급삼유초성인도하대386례유선종괴환자적546처유선병조응용MMT미창절제화(혹)활검술,분석재유선미창외과중적응용개치.결과 술중초성검사증실종괴완정절제.병리결과현시량성병변378례538처종괴,기중유선섬유류372처종괴,유선선병148처종괴,유선도관내유두상류18처종괴.악성병변8례8처종괴,기중비침윤성도관암3례,소협원위암5례.술후림상화초성검사정기수방균미발현종괴복발.결론 초성인도하맥묵통선절계통대3 cm이하유선병조가진행미창완정절제병가획득명학적병이학진단,구유정위준학、안전가고、천자창상소、병발증소등우점.
Objective To investigate the value of ultrasound-guided mammotome system on the perioperative period of minimally invasive breast surgeries.Methods Under high-frequency and three-dimensional ultrasound-guided mammotome systeam,546 breast lesions of 386 cases were removed and (or) biopsied to analyze the value of minimally invasive breast surgeries.Results Tumors were completely removed in all.Pathologic results showed that 538 breast lesions of 378 cases of benign lesions,including 372 lesions in breast fibroma,148 lesions in breast adenosis,18 lesions in breast intraductal papilloma.Eight breast malignant lesions of 8 cases,including 3 cases of non-invasive ductal carcinoma,5 cases of lobular carcinoma in situ.The postoperative clinical and ultrasonic inspection regularly had no tumors recurrence.Conclusions Ultrasound-guided mammotome system can resect the breast lesions below 3 cm completely and obtain clear pathological diagnosis,with accurate position,and was safe,reliable.