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目的:探讨真空辅助活检在乳腺导管内乳头状瘤治疗中的价值。方法:回顾分析2012年1月-2015年12月我科行超声引导下真空辅助活检治疗的1 210例乳腺疾病患者,其中经病理证实为导管内乳头状瘤者62例,通过对比、分析导管内乳头状瘤临床特点及回访,明确真空辅助活检在乳腺导管内乳头状瘤治疗中的价值。结果:手术时间10~40 min,平均15 min;术后6例出现并发症;中央型乳头状瘤与外周型乳头状瘤在发病年龄、肿块大小、超声BI-RADS分级等方面比较差异无统计学意义;术后随访2~36个月,中位随访18个月,乳腺外观良好,美容效果良好。临床查体结合彩色超声检查未发现原手术部位病灶残留或复发。结论:真空辅助活检是一种微创、有效的治疗乳腺导管内乳头状瘤的方法。
Objective: To investigate the value of vacuum assisted biopsy in the treatment of intraductal papillomatosis. Methods: A retrospective analysis of 12 210 cases of breast diseases treated by ultrasound-guided vacuum assisted biopsy in our department from January 2012 to December 2015 was conducted. Among them 62 cases were pathologically confirmed as intraductal papillomas. By contrast, Intra-papillomatosis clinical features and follow-up, clear vacuum-assisted biopsy in the treatment of intraductal papilloma. Results: The operation time was 10 to 40 minutes, with an average of 15 minutes. Complications were found in 6 cases after operation. No difference was found in the age, size of tumor, grade of ultrasound BI-RADS between central papilloma and peripheral papilloma Learning significance; follow-up 2 to 36 months postoperatively, the median follow-up of 18 months, the breast appearance is good, good cosmetic effect. Clinical examination combined with color ultrasound did not find the original surgical site lesions or recurrence. Conclusion: Vacuum assisted biopsy is a minimally invasive and effective method for the treatment of intraductal papillomatosis.