【摘要】 目的　探讨B超引导下Mammotome微创旋切系统对乳腺病灶的诊断与治疗的应用价值。方法　对 33例 42处乳腺病灶进行了B超引导下Mammotome微创旋切术 ,评价其对乳腺病灶的诊治效果。结果　 33例 42处乳腺病灶中 ,2 5例 34处病灶临床诊断为乳腺纤维腺瘤 ,均被Mammotome微创旋切切除 ,平均旋切 15次 ,用时 30min ;6例为乳腺可疑病灶 ,2例临床诊断为Ⅲ期乳腺癌 ,均经Mammotome微创旋切术而获得明确诊断。操作无一例失败。这种方法皮肤伤口小 ,除 1例有轻度皮下瘀血现象外无其它并发症。结论　B超能很好地引导Mammotome微创旋切系统进行乳腺小纤维腺瘤的微创切除术。对乳腺可疑病灶能明确诊断 ,若为良性可避免不必要的手术 ;若为恶性则能及时获得合理的治疗。更多还原

【Abstract】 Objective To evaluate the application of ultrasound guided Mammotome minimally invasive biopsy system in the diagnosis and treatment of breast diseases. Methods The operations and biopsy for 42 breast lesions in 33 patients were performed by ultrasound guided Mammotome system, and the diagnostic and therapeutic values of Mammotome were evaluated. Results 34 lesions in 25 patients were diagnosed as breast fibroadenoma and excised by the Mammotome system. The times of incision were 15 and the duration of operations was 30min. 6 clinically suspicious lesions and 2 stage Ⅲ breast cancer were confirmed by the system. Conclusion Application of Mammotome system in the excision of small breast fibroadenoma can be accurately guided by ultrasound. It can also be used to diagnose the suspicious lesions. [更多还原