CAJ | 학술논문

目的：探讨麦默通真空辅助抽吸旋切系统（MMT）在微创诊治乳腺囊肿中的临床应用价值。方法回顾性分析2012年1月至2013年12月重庆医科大学附属第一医院收治的行MMT 切除的乳腺囊肿患者32例，共切除67个病灶。结果32例患者的67处病灶均采用MMT 切除，术后病理结果提示囊性增生症病灶56个，乳腺囊性增生伴纤维腺瘤形成7个，不典型增生2个，乳腺癌2个。2例乳腺癌患者及时行手术治疗，其他患者术后伤口愈合良好，无明显手术瘢痕，乳房无变形。结论 MMT 切除乳腺囊肿具有简单安全、微创美观等特点，可发现乳腺癌前病变和乳腺癌，但需要严格控制手术适应证。
목적：탐토맥묵통진공보조추흡선절계통（MMT）재미창진치유선낭종중적림상응용개치。방법회고성분석2012년1월지2013년12월중경의과대학부속제일의원수치적행MMT 절제적유선낭종환자32례，공절제67개병조。결과32례환자적67처병조균채용MMT 절제，술후병리결과제시낭성증생증병조56개，유선낭성증생반섬유선류형성7개，불전형증생2개，유선암2개。2례유선암환자급시행수술치료，기타환자술후상구유합량호，무명현수술반흔，유방무변형。결론 MMT 절제유선낭종구유간단안전、미창미관등특점，가발현유선암전병변화유선암，단수요엄격공제수술괄응증。
Objective To investigate the clinical application value of stereotactic or ultrasound‐guided vacuum‐assisted Mammotome(MMT) system in minimally invasive surgery for breast cysts .Methods 32 patients with breast cysts in the First Affiliated Hospital of Chongqing Medical University from January 2012 to December 2013 were performed the MMT excision and 67 lesions were resected .The clinical data were retrospectively analyzed .Re‐sults Among 32 cases of breast cysts ,67 lesions were removed by MMT .Postoperative pathological examination re‐vealed cystic hyperplasia in 56 lesions ,breast cystic hyperplasia accompanying fibroadenoma formation in 7 lesions ,a‐typical hyperplasia in 2 lesions and breast cancer in 2 lesions .2 cases of breast cancer were taken appropriate and timely surgical treatment .The wound of other patients was healed well without obvious scar and breast deformation . Conclusion The MMT surgery is a minimally invasive ,safe and efficient method for the excision of breast cysts , which can be used to diagnose precancerous lesions of breast and breast cancer ,but the indications for surgery must be strictly controlled .