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B超引导下的乳腺纤维腺瘤微创旋切术 被引量:24

Minimally Invasive Surgery of Breast Fibroadenoma
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摘要 目的 探讨B超引导下Mammotome微创旋切系统在乳腺纤维腺瘤微创手术中的应用价值。 方法 对 43例5 3处 0 6cm~ 2 2cm乳腺纤维腺瘤进行了B超引导下Mammotome微创旋切切除术 ,评价其手术效果。 结果 乳腺纤维腺瘤均被Mammotome微创旋切切除 ,平均每处旋切 17次 ,用时 31min。操作全部成功。皮肤伤口仅 3mm ,并发症轻微。 15例 (2 1处 )经术后 6~ 2 1(13 .5± 4.0 )个月的随访 ,临床及B超复查均无复发迹象。 结论 B超引导下Mammotome微创旋切系统进行乳腺小纤维腺瘤的切除术 ,操作简易 ,切除彻底 ,创伤小。 Ojective To evaluate the clinical application of ultrasound-guided Mammotome system to the treatment of patients with breast fibroadenoma. Methods The minimally invasive operations for 53 breast fibroadenoma in 43 patients were performed by ultrasound-guided Mammotome system, and the therapeutic efficacy of Mammotome system was evaluated. Results 53 lesions (0.6cm~2.2cm) in 43 patients with breast fibroadenoma were completely excised by the Mammotome system. The average incisions were 17 times and the mean operative time was 31 min. All the operations were successfully accomplished without serious complication. The length of incision was only 3 mm. And no recurrence was found by physical examination and B-ultrasonography in 15 patients(21 lesions) during follow up period for 6~21(13.5±4.0) months. Conclusions Mammotome system is simple and effective technique with minimal invasion for the excision of small breast fibroadenoma.
出处 《中国微创外科杂志》 CSCD 2001年第5期280-281,共2页 Chinese Journal of Minimally Invasive Surgery
关键词 B超引导 乳腺纤维腺瘤 微创旋切术 手术方法 Breast fibroadenoma Minimally invasive surgery Mammotome Ultrasound guidance
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参考文献5

  • 1Zannis VJ, Aliano KM. The evolvingpractice pattern of the breast surgeon with disapperance of open biopsy for nonpalpablelesions. Am J Sury, 1998, 176:525-528.
  • 2Burbank F, Parker SH, Fogarty TJ. Stereotactic breast biopsy: Improved tissueharvesting with the Mammotome. Am Surg, 1996, 62:738-744.
  • 3Klem D, Jacobs HK, Jorgensen R, et al. Stereotactic breast biopsy in a communityhosptial setting. Am Surg, 1999, 65:737-740.
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