目的:探讨Mammotome旋切系统辅助治疗大于3 cm的乳腺良性肿块手术的可行性.方法:30例直径大于3 cm的乳腺良性肿瘤行超声实时监控下采用Mammotome旋切系统辅助游离、部分切除后,联合乳晕内微创、隐蔽小切口手术.通过超声随访评价其治疗效果.结果:30例42个大于3 cm乳腺包块均采用该方法完全切除,手术成功率100％.患者在乳晕内留下1～1.5 cm切口疤痕,无感染.1个月后复诊乳房无变形.结论:采用此方法完全切除乳腺大于3 cm的良性肿块,甚至可以切除巨型包块.乳房表面不留明显疤痕,乳房外观不受影响,美容效果好,并发症少,安全可靠.%Objective:To evaluate the value of ultrasound-guided Mammotome biopsy system in the incision of benign breast tumors larger than 3 cm. Methods: A total of 30 cases of benign breast tumors larger than 3 cm underwent incision by the supervision of real-time ultrasound-guided Mammotome biopsy system. Results: A total of 42 breast masses larger than 3 cm in the 30 cases has been completely removed by this method,and the surgical success rate was 100%. The scars were 1 - 1.5 cm. There were no case of bleeding and infection. Conclusions: Use this method can completely resect benign breast tumors larger than 3 cm or even remove a giant block,leaving no obvious scars.
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