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目的:探讨超声引导麦默通微创旋切系统对3.0 cm以上乳腺良性肿块切除术的方法,并发症的防治及治疗价值。方法:回顾性分析56例60个乳腺良性肿块进行超声引导下麦默通微创旋切手术临床资料。结果:60个病灶被B超引导下使用麦默通旋切系统完全切除,每个肿块平均旋切次数为65次。术后仅留下0.3 cm的微小切口,成功率为100.00%。术后出现并发症3例,占5.36%,保守治疗后均痊愈。病理结果显示,乳腺纤维腺瘤55个,占91.67%;乳腺腺瘤1个,占1.67%;导管内乳头状瘤2个,占3.33%;乳腺腺病2个,占3.33%。结论:应用麦默通旋切系统治疗乳腺较大良性肿块既能切除病灶得到组织学诊断,又能达到美容效果,患者满意度较高,是一种有效的手术方法。
OBJECTIVE: To explore the method of ultrasound-guided Maomettone minimally invasive polypectomy for the treatment of 3.0 cm or more of breast benign masses, the prevention and treatment of complications. Methods: A retrospective analysis of 56 cases of 60 benign breast masses under ultrasound-guided Maomeng minimally invasive surgical removal of the clinical data. RESULTS: Sixty lesions were completely excised using the Metamaterial rotational system guided by B-mode ultrasound. The average number of excision of each lesion was 65. Only 0.3 cm of tiny incision was left after operation, the success rate was 100.00%. Postoperative complications occurred in 3 cases, accounting for 5.36%, were cured after conservative treatment. Pathological findings showed that there were 55 breast fibroadenomas (91.67%), 1 breast adenoma (1.67%), 2 intraductal papillomas (3.33%) and 2 breast adenosis (3.33%). Conclusion: It is an effective surgical method to treat patients with large benign breast mass by means of the Mammotome Rotation System, which not only can get the histological diagnosis of the lesion but also achieve the cosmetic result with high satisfaction.