Mammotome微创旋切系统治疗乳腺脓肿:附53例报告  

Mammotome minimally invasive system in the treatment of breast abscess: a report of 53 cases

作　　者：续哲莉[1] 边学海[1] 王瑞庆[2] 宋昌龙[1] 孙光[1] 

机构地区：[1]吉林大学中日联谊医院乳腺甲状腺外科,吉林长春130033 [2]吉林省辽源市中心医院普通外科,吉林辽源136200

出　　处：《中国普通外科杂志》2007年第11期1063-1065,共3页China Journal of General Surgery

摘　　要：目的探讨Mammotome微创旋切系统治疗乳腺脓肿的可行性及其临床应用价值。方法2004年1月-2007年1月在超声引导下应用Mammotome微创旋切系统治疗乳腺脓肿53例。乳房上取适当隐蔽小切口；超声引导Mammotome微创旋切系统抽吸脓汁，切除脓肿壁，留置引流管冲洗；乳头内陷行二期矫形术。结果53例乳腺脓肿均得到临床治愈。穿刺切口0．3cm；平均手术时间47．3mim。手术损伤小，病程短，乳腺外形满意。常规病理检查符合临床诊断。I期愈合48例，5例乳头部分表层结痂，经保守治疗于2周后痊愈。随访1～22个月，临床及B超复查均未发现复发。结论Mammotome微创旋切系统治疗乳腺脓肿特点明显，手术安全、可靠，乳房无瘢痕、不变形，为二期乳头矫形提供条件，具有较好的美容效果。Objective To evaluate the feasibility and value of clinical application of uhrasound-guided mammotome minimally invasive system in the diagnosis and treatment of breast abscess. Methods From January 2004 to January 2007,53 cases of breast abscess were treated by mammotome minimally invasive system. A suitable covert breast incision was made. The ultrasound-guided mammotome system was used for suction of pus, excision of abscess wall and insertion of drainage tube. The cases with nipple retracion underwent second-stage plastic operation. Results All of the 53 cases of breast abscess were cured. The average length of incision was 0.3 cm. The average duration of operation was 47.3 min. The surgical trauma was small, the course of illness was short, and the cosmetic appearance of the breasts was satisfactory. The clinical diagnosis was confirmed by routine pathology examination. Healing by first intention occurred in 48 cases, and partial nipple surface was scabbed in 5 cases, but all recovered after 2 weeks of conservative therapy. Conclusions Mammotone is a feasible and safe procedure with satisfactory cosmetic results for breast abscess. It can provide favorable condition for subsequent plastic nipple surgery.

关 键 词：乳腺脓肿/治疗 MAMMOTOME 引流 乳头矫形 

分 类 号：R655.8[医药卫生—外科学]