中国实用外科杂志

中国实用外科杂志 ›› 2009, Vol. 29 ›› Issue (12): 1028-1029.

• 论著 • 上一篇    下一篇

B超引导下真空辅助旋切系统用于乳腺疾病诊治价值研究

徐晓洲，张柏林，王 翔   

  1. 中国医学科学院肿瘤医院腹部外科，北京100021
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-12-18 发布日期:2009-12-18

  • Received:1900-01-01 Revised:1900-01-01 Online:2009-12-18 Published:2009-12-18

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摘要：

目的 探讨B超引导下乳腺真空辅助旋切系统在乳腺病灶诊断及治疗中的临床应用价值。方法 2006年12月至2008年5月中国医学科学院肿瘤医院腹部外科对416例（469个病灶）病灶进行了B超引导下真空辅助旋切术，回顾性分析并评价其在乳腺病灶诊治中的价值。结果 术后病理诊断乳腺浸润性导管癌6例，导管原位癌3例，其中T0期4例，T1期5例，均接受开放手术治疗，无组织学低估发生；良性病灶460个，除2例术后半年局部复发，经开放手术切除，病理为纤维腺瘤，其余病灶术后半年B超复查，原病灶残腔处未见可疑病灶。术后并发症总发生率为1.2%。 结论 B超引导下乳腺真空辅助旋切系统可对5～28mm大小乳腺病灶实施完全切除，获得可靠病理组织学诊断，检出B超发现可疑病灶中的早期乳腺癌，同时还可对良性病灶进行微创切除，具有准确、安全、微创的特点。

关键词: 真空辅助旋切系统, 乳腺疾病

Abstract:

The application of ultrasound guided vacuum assisted excision system in the diagnosis and treatment of breast disease XU Xiao-zhou, ZHANG BO-lin, WANG Xiang. Cancer Hospital, Chinese Academy of Medical Science, Beijing 100021, China Corresponding author: WANG Xiang, E-mail: Xiangw@vip.sina.com Abstract Objective To investigate the clinical value of ultrasound guided vacuum assisted excision on the diagnosis and treatment of breast lesions. Methods Ultrasound guided vacuum assisted excision was performed on 469 lesions from 416 patients between Dec 2006 to May 2008. Its value on diagnosis and treatment of breast lesions was analyzed retrospectively. Results Among them, there were 6 cases of invasive ductal carcinoma and 3 case of intraductal carcinoma(four cases of T0 stage and five cases of T1 stage) and 460 cases of benign lesions. All patients with breast cancer received additional radical operation and no histological underestimation was found. 2 cases of local recurrence among the benign lesions were found six month later and received another excision with the pathological diagnosis of fibroadenoma. No remnant lesion was found at the re-examination six months later. Incidence rate of postoperative complications was 1.2%. Conclusion Breast lesions with the maximum diameter from 5 to 28 millimeters could be resected completely by ultrasound guided vacuum assisted excision system and obtained the pathologic diagnosis. With the help of this method, we can find breast cancer in early stage suspected by ultrasound. In addition, benign disease could also be treated with a minimum wound. This technique has the characteristics of accurate, safe and small wound.

Key words: vacuum-assisted biopsy instrument, mammary gland disease