论文部分内容阅读
目的:探讨术中B超定位下经乳晕边缘小切口切除乳腺多发微小腺瘤手术的可行性。方法:术中在B超定位下于乳晕边缘做一弧形小切口,锐性分离形成皮下隧道,在B超导引下将血管钳沿此皮下隧道至B超定位下的低回声处,钳夹病变周围腺体组织牵拉至切口旁,牵引直视下切开部分腺体完整切除微小腺瘤。结果:应用此方法可一次切除多个乳房微小腺瘤,术后伤口隐蔽,乳房形态与外观正常,乳晕旁瘢痕线不明显。结论:术中B超定位下经乳晕边缘小切口行乳腺多发微小腺瘤切除是一种新的技术手段,弥补了传统手术缺点,安全可行,既达到了治疗目的,又符合美学要求。
Objective: To investigate the feasibility of intraoperative breast biopsy by multiple small adenoma via small areola incision. Methods: Under the B-mode ultrasonography, an arc-shaped incision was made on the edge of the areola. A subcutaneous tunnel was formed by sharp separation. Under the B-mode guide, the vasculature was subcutaneously tunneled to the hypoechoic position under B-positioning. Gland lesions around the traction to the incision next to the gland, under direct traction to cut part of the gland resection of small adenomas. Results: This method can be used to remove multiple small breast adenoma at one time. The wounds are hidden, the shape and appearance of the breast are normal, and the scar line of the areola is not obvious. CONCLUSION: The intraoperative ultrasound with small incision on the marginal margin of the areola for the removal of multiple adenoma of the breast is a new technique to make up for the shortcomings of traditional surgery and is safe and feasible. It not only meets the therapeutic purpose but also meets the aesthetic requirements.