| 摘要: |
| 目的 探讨高频超声引导麦默通(Mammotome)微创旋切系统对钼靶显示乳腺钙化灶活检诊断及治疗的可行性。方法 在高频超声引导下应用Mammotome系统8G旋切刀对14例乳腺钙化灶患者施行钙化灶微创旋切,标本送钼靶复核后行病理检查。结果 钼靶显示的钙化灶均被准确、完全切除,乳房外形无改变,无术后血肿。单个病灶平均手术时间(12.93±3.45) min,单个病灶平均旋切组织条为(9±2.22)条。病理:2例为导管原位癌,5例为纤维腺瘤,7例为腺病。结论 超声引导Mammotome系统可对钼靶提示且超声可探查的乳腺钙化灶行旋切活检及治疗,定位精确、手术时间短、创伤小,但对术者技术要求较高。 |
| 关键词: 乳腺疾病 钙化 钼靶 超声检查 麦默通旋切系统 |
| DOI：10.3724/SP.J.1008.2012.00336 |
| 投稿时间：2011-08-06修订日期：2012-02-10 |
| 基金项目: |
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| Ultrasound-guided Mammotome system in diagnosis and minimally invasive resection of calcification in breast |
| HU Wei,SHI Jun-yi,GONG Shun,WU Yan-mei,ZHANG Qing-ping,SHENG Yuan* |
(Department of Thyroid and Breast Surgery, Changhai Hospital, Second Military Medical University, Shanghai 200433, China
*Corresponding author.) |
| Abstract: |
| Objective To evaluate the feasibility of using the ultrasound-guided vacuum-assisted breast biopsy system (Mammotome) for diagnosis and minimally invasive resection of calcification in the breast. Methods Fourteen patients with breast calcification lesions who were diagnosed by mammography were resected by ultrasound-guided Mammotome system with 8G probe. The samples were subjected to mammography, followed by pathological examination. Results All the lesions were removed accurately and radically with satisfactory cosmetic outcomes; there were no clinically significant hematoma after operation. Each lesion was resected via (9±2.22) peelings and took a mean of (12.93±3.45) min．Pathological examination confirmed 2 cases of ductal carcinoma in situ, 5 cases of fibroadenoma, and 7 cases adenosis. Conclusion Ultrasound-guided Mammotome system can be used for diagnosis and treatment of breast calcification lesions which are ultrasound positive. The technique is accurate, time-saving, and mini-invasive, but it requires more experience and patience from the operators. |
| Key words: breast diseases calcification mammography ultrasonography Mammotome |
