目的：探讨乳腺肿瘤旋切系统旋切乳腺肿瘤活检对乳腺肿瘤的活检诊断效果，以及其在治疗乳腺肿瘤中的作用。方法对我院2008年1月至2013年1月63例86处乳腺肿瘤患者，采用超声引导下微创乳房肿瘤旋切术，对乳腺肿瘤进行微创旋切，切除乳腺肿瘤进行活检诊断，并评价乳房肿瘤旋切术治疗乳腺良性肿瘤的临床应用价值。结果所有病灶均成功切除。63例86处乳腺肿瘤病灶中，乳腺癌6例(7处)，做乳腺癌进一步治疗；乳腺腺病16例(19处)；乳腺腺病伴纤维腺瘤形成18例(19处)；乳腺纤维腺瘤23例(41处)。结论肿瘤微创旋切系统可明确诊断可疑病灶，完整切除乳腺良性病灶，操作简易，创伤小，安全，美容效果好。若乳腺肿瘤为恶性，可根据微创旋切术切除组织标本，确定癌组织生物学特性，并据乳腺肿瘤组织病理结果，进一步进行治疗。%Objective To investigate the atherectomy in the biopsy diagnosis and treatment of breast tumor. Methods 63 patients with breast tumor (86 lesions) in our hospital from January 2008 to January 2013 were treated with ultrasound-guided minimal invasive atherectomy of breast tumor. The breast tumor tissue was taken for biopsy diagnosis, and the clinical value of atherectomy in the treatment of breast tumor was evaluated. Results All lesions were removed successfully. In all 63 patients (86 lesions), there were 6 cases (7 lesions) of breast cancer, 16 cases (19 lesions) of adenosis of breast, 18 cases (19 lesions) of adenosis with fibroadenoma forming, and 23 (41 lesions) of breast fibroadenoma. Conclusions Tumor minimally invasive biopsy system can confirm the diagnosis of suspicious lesions, and completely resect benign breast lesions. It is easy to operate and safe, with less invasive and good cosmetic results. If breast tumor is malignant tissue, the tissue specimens of minimally invasive atherectomy can determine the biological characteristics of cancer tissue, and according to the results of breast tumor tissue pathology, patients can receive further treatment.
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