乳腺微创旋切术术中、术后出血情况的分析及防治策略  

Analysis and prevention of hemorrhage in Mammotome operation

作　　者：钟春嫦[1] 傅建民[1] 李欢[1] 张文夏[1] 朱运添[1] 周爱华[1] 陈媛媛[1] 王恩礼[1] 

机构地区：[1]南方医科大学附属医院,深圳妇幼保健院乳腺科,深圳市518000

出　　处：《微创医学》2007年第4期270-272,共3页Journal of Minimally Invasive Medicine

摘　　要：目的分析乳腺微创手术在乳腺病灶切除及可疑病灶活检术中、术后的出血情况,总结有效降低出血率的方法。方法回顾276例乳腺微创手术,将切割过程中出现的出血及穿刺过程中出现的出血及术后血肿形成等方面进行统计分析。结果在B超监视下共切除乳腺病灶546枚,术中出血30例,其中切除病灶在2.5-3.5cm之间的出血率达20%,术后形成血肿9例,术后用垫圈压迫且弹性绷带包扎48h未出现术后血肿。全部病例治愈出院。结论乳腺微创旋切手术在切除较大病灶时出血情况明显增加,手术难度加大,但通过改良术后压迫方法可获得满意的治疗效果。Objective To discuss how to reduce the hemorrhage incidence effectively in the Mammotome operation. Methods The data of 276 cases underwent Mammotome operation were analyzed retrospectively. Results 546 lesions were resectod under the monitoring with B-mode ultrasonography, and 30 hemorrhage cases were found. Hemorrhage rate of neoplasms whose diameters were 2.5 -3.5cm was 20%. Hematoma occurred in 9 cases after operation. No hematoma occurred in patients who received pressure enswathement for 48 hours. Conclusion Higher incidence of hemorrhage occurred during operation for neoplasms with larger size（ 〉 2.5cm）. Hematoma can be avoided by improved postoperafion pressure enswathement.

关 键 词：乳腺微创旋切术 术中术后出血 防治策略 

分 类 号：R655.8[医药卫生—外科学]