乳腺良性肿块的微创治疗  

Minimally invasive operation for benign breast tumors

作　　者：张琳[1] 林红[1] 

机构地区：[1]广东省珠海市妇幼保健院,广东珠海519000

出　　处：《中国妇幼健康研究》2010年第3期335-337,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的 探讨B超引导下安珂微创手术对乳腺良性病灶的治疗价值及其与传统手术对比的优点.方法 将280例（346个病灶）乳腺良性病灶在B超引导下行安珂微创旋切术的治疗情况与同期行传统手术的273例（329个病灶）乳腺良性肿块患者进行对比研究,评价它们的诊疗效果.结果 微创组的手术时间（16.0±5.6min）明显少于传统手术组（21.0±8.9 min）,t=7.88,P〈0.05;微创组疤痕长度（ 0.4±0.1cm）明显小于传统手术组（2.6±0.6cm）, t= 99.6,P〈0.05.结论 B超引导下的安珂微创旋切系统切除乳腺良性肿块具有穿刺准确、创伤小、操作简单、安全、复发率低等优点,尤其适合于3.0cm以下的乳腺小肿块,是一种值得推广的手术方法 .Objective To assess value of uhrasound-guided Encor minimally invasive biopsy system in treatment of benign breast tumors and its superiority in comparison with traditional operaion. Methods 280 patients with benign breast turners were treated by using Encor minimally invasive biopsy system （EMIBS） （346 tumors ）, while 273 patients with benign breast tumors were treated by using the conventional operation （329 tumors）in the same period. The therapeutic effects in the two groups were compared. Results There were no significant difference in incidence rates of subcutaneous eechymosis, wound dehiscence, infection and complications between the two groups （ all P 〉 0.05 ）. In the minimally invasive operation group, the operation time was significantly shorter than that in the conventional operation group （ 16.0 ± 5.6min vs 21.0 ± 8.9 min, t = 7.88 ,P 〈 0.05 ）. And the scar length in the minimally invasive operation group was also significantly shorter than that in the conventional operation group（0.4 ±0. 1cm vs 2.6 ± 0.6cm, t = 99.6, P 〈 0.05 ）. Conclusion B-ultrasound guided EMIBS for resection of benign breast tumors has superiorities such as accurate puncture , minimal invesiveness, being simple and safe in operation and low recurrence rate. Especially, it is suitable for resection of those benign breast tumors with a diameter smaller than 3.0 cm, so it is worthy to be popularized in clinic.

关 键 词：乳腺良性肿瘤 微创技术 乳腺纤维腺瘤 安珂微创活检系统 

分 类 号：R173[医药卫生—妇幼卫生保健] R655.8[医药卫生—公共卫生与预防医学]