中国实用外科杂志

中国实用外科杂志 ›› 2009, Vol. 29 ›› Issue (07): 583-585.

• 论著 • 上一篇    下一篇

钼靶图像定位技术下乳管内隆起样病变切除术

周 丹，张国强，庞 达，郁 雷，何 川   

  1. 哈尔滨医科大学附属肿瘤医院乳腺外科，黑龙江哈尔滨150081
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-07-08 发布日期:2009-07-08

  • Received:1900-01-01 Revised:1900-01-01 Online:2009-07-08 Published:2009-07-08

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摘要：

目的 评价钼靶图像定位技术对乳管内隆起样病变的定位诊断和指导微创手术的价值。方法 2003年1月到2007年10月哈尔滨医科大学附属肿瘤医院乳腺外科对105例未扪及肿块乳头溢液病人行乳腺导管造影检查，钼靶图像定位方法精确定位导管内病灶，选择合适切口切除病变，将临床病理资料进行收集、整理、分析。结果 105例肿瘤均完整切除，包括 3例恶性行局部扩大切除，良性病变术后乳房外形无明显改变。结论 钼靶图像引导下的乳管内隆起样手术切除范围小，创伤小，此方法简便易学、经济实用，有效地提高了乳管内隆起样病变的诊断和治疗效果。

关键词: 钼靶图像定位, 乳管内隆起样病变, 乳头溢液, 微创手术

Abstract:

Excision of Intraductal Lesions under the guidance of mammography image locating technology ZHOU Dan, ZHANG Guo-qiang, PANG Da, et al. Department of Breast Surgery, Tumor Hospital Affiliated to Harbin Medical University, Harbin 150081, China Corresponding author: ZHANG Guo-qiang, E-mail:6-Fu@163.com Abstract Objective To evaluate the value of mammography image location technology for the diagnosis and microinvasive treatment of intraductal lesions Methods A total of 105 patients with nipple discharge without breast lumps were examined by mammary ductography, localized by the guidance of mammography image location eye-measurement method.After the location of the tumor was identified, and a proper incision was made to resecte the tumor Results The lesions were resected completely in all the 105 patients. Three of them had malignant lesion and received extended resection. After the operation, no obvious change was observed in the appearance of the breast Conclusion Resection of intraductal lesions under the guidance of mammography image location is less traumatic with good cosmetic outcomes. It characterized easy to learn，economics，especially enhance the diagnostic and treatment of intraduactal lesions effectively.

Key words: mammography image location, intraductal lesions, nipple discharge, microinvasive surgery, localization