mammotome旋切系统微创治疗乳腺肿块的效果观察.docVIP

Mammotome旋切系统微创治疗乳腺肿块的效果观察 　　[摘要] 目的 探讨经Mammotome微创旋切系统治疗乳腺肿块的临床效果。 方法 回顾性分析2014年11月～2015年12月我院收治的122例乳腺肿块患者，均在超声引导下行Mammotome微创旋切系统治疗术。观察手术效果、患者满意度、术后并发症等指标。 结果 122例患者均顺利完成手术。术后活检，乳腺良性肿块119例（97.8%），恶性肿块3例（2.2%）。围手术期发生乳房局部皮下瘀血3例（2.46%），穿刺点硬结1例（0.81%），未见乳头溢血、出血、感染等不良事件，患者满意度为95.90%（117/122）。术后3个月随访，乳房外观、触觉均正常，超声检查未发现复发病灶。 结论 经Mammotome旋切术可以完整切除乳腺肿块病灶，操作简便，临床效果良好，具有较高的应用价值。 　　[关键词] Mammotome旋切系统；乳腺肿块；微创治疗 　　[中图分类号] R737.9 [文献标识码] A [文章编号] 1673-9701（2017）15-0015-04 　　[Abstract] Objective To investigate the clinical effect of Mammotome minimally invasive peeling system in the treatment of breast masses. Methods Retrospective analysis was used. A total of 122 breast masses patients treated with ultrasound-guided Mammotome minimally invasive peeling system from November 2014 to December 2015 were admitted. The indicators including surgical effect， patient satisfaction， postoperative complications were observed. Results A total of 122 patients were successfully completed the operation. Postoperative biopsy showed that there were 119 cases of benign breast masses（97.8%） and 3 cases of malignant masses （2.2%）. There were 3 cases （2.46%） of local subcutaneous blood stasis in the perioperative period， 1 case （0.81%） of scleroma at puncture point and no adverse events such as nipple hemorrhage， bleeding and infection. The patient satisfaction rate was 95.90%（117/122）. The patients were followed up at 3 months after surgery， and the breast appearance， tactile were normal. Ultrasound examination found no recurrence of lesions. Conclusion Mammotome peeling can completely resect the lesion of breast lumps， which is easy to operate and has good clinical effect and high application value. 　　[Key words] Mammotome peeling system； Breast mass； Minimally invasive treatment 　　乳腺?[块在女性乳腺疾病中比较常见，约80%乳腺肿块为患者自己发现[1]，多为良性[2]；但在健康体检中发现恶性乳房肿块的比例近年来也有增加。超声技术和乳腺诊疗器械的进步更新，使目前临床对乳腺肿块的检出率有较大提高，对其治疗也增加了微创术等很多的新技术、新方法，包括Mammotome微创旋切诊疗系统在乳腺疾病的临床应用[3]。本研究通过回顾性分析122例乳腺肿块患者的临床资料，旨在探讨在超声引导下经Mammotom