目的

探讨超声引导下Mammotome真空辅助旋切系统对乳腺多发性肿块（一侧乳房肿块≥3个）进行微创切除的治疗价值。

方法

2005年10月至2007年3月，本科对39例多发性乳腺肿块患者的168个肿块在超声引导下进行Mammotome切除术，并进行回顾性分析，评价其在乳腺多发性肿块切除中的应用价值。

结果

全部肿块均采用Mammotome旋切，术后病理学诊断均为良性，术后无切口瘢痕，乳房外形正常，皮肤触觉无变化。术后并发症包括血肿形成、皮下淤斑及乳头溢血各1例。术后3个月和6个月接受超声复查，均未发现病灶残留。

结论

超声引导下Mammotome旋切术可完整切除乳腺多发性病灶，具有微创、美容、术后对触觉无影响、操作简单、安全等优点，是一种值得推广的微创手术方法。

Objective

To investigate the treatment value of ultrasound-guided Mammotome system in minimally invasive surgery for multiple breast lesions.

Methods

From October 2005 to March 2007，39 female patients with multiple breast lesions underwent minimal invasive excision using a ultrasound guided Mammotome vacuum assisted device，and the operative outcomes were retrospectively analyzed.

Results

A total of 168 benign lumps were completely excised without obvious scar，irregular breast contour or abnormal sense of touch.The postoperative complications were hematoma in 1 case，dermal ecchymosis in 1，and nipple blood discharge in 1.The follow-up for 3-6 months in all patients showed no residual lesions by ultrasound examination.

Conclusions

Excision of multiple breast lesions using ultrasound guided Mammotome vacuum device is minimally invasive，safe，feasible and suitable.It is also a good method as cosmetology is concerned.