麦默通乳腺微创旋切术与传统手术的对比研究  

Contrastive research on ultrasound guided mammotome minimally invasive surgery and traditional treatment of benign breast lesion

作　　者：王永霞[1] 张爱玲[1] 黄珂铭[1] 张蓉[1] 高学忠[1] 曹茵[1] 

机构地区：[1]东莞市人民医院乳腺科,广东东莞523018

出　　处：《中华肿瘤防治杂志》2010年第8期615-618,共4页Chinese Journal of Cancer Prevention and Treatment

基　　金：东莞市科技局资助项目(2008105150252)

摘　　要：目的:探讨麦默通(MMT)乳腺微创旋切术较传统手术在治疗乳腺良性病灶中的优势。方法:1746例患者3650处乳腺良性病灶MMT乳腺微创旋切术的患者设为研究组(MMT组),同期378例采用传统乳腺肿块切除术的患者为对照组,分别对两组手术情况、术后并发症、美容效果和心理满意度等进行对比研究。结果:MMT组1746例3650个病灶均被准确、成功切除,每个病灶平均旋切16次(5～63次),在手术时间、美容效果、心理满意度方面MMT组均明显优于对照组,差异有统计学意义,P<0.05。在术中出血方面,病灶直径5～10mm者,术中出血量少于对照组,差异有统计学意义,P<0.05;多发(单侧>3个)病灶者,术中出血量多于对照组,差异有统计学意义,P<0.05。在术后血肿发生率方面,病灶20～30mm和多发(单侧>3个)病灶者,MMT组多于对照组,差异有统计学意义,P<0.05。MMT组术后残留2例均发生病灶20～30mm者,对照组病灶残留3例发生于病灶5～10mm者。结论:高频超声引导MMT乳腺微创旋切术治疗乳腺良性病灶较传统手术可以缩短手术时间,获得较好美容效果和心理满意度,并发症少,尤其适用于治疗直径<3cm的乳腺良性病灶,值得临床推广应用。OBJECTIVE：To investigate the superiority of the ultrasound guided mammotome minimally invasive surgery on benign breast lesion contrasting traditional surgery.METHODS：A total of 1 746 cases with 3 650 breast lesions were treated with the ultrasound guided mammotome minimally invasive surgery from September,2007 to August,2009.Whereas,378 cases received the traditional surgery in the control group.Contrastive analyses of the surgery,postoperative complication,cosmetic effect as well as the psychological satisfactory degree were made between the two groups.RESULTS：Totaly 3 650 breast lesions among 1 746 cases in the Mammotome group were successfully removed by 16 times （5 to 63 times） of incision on average.The mammotome surgery was superior to the traditional treatment in the aspects of operation time,aesthetic effect and satisfactory degree with statistical significance （P〈0.05）.In 5-10 mm lesions,operative bleeding occurred less in the Mammotome group than in the control group （P〈0.05）.Whereas,in multiple lesions （over 3 in unilateral breast）,the operative bleeding was more significantly than that in the control group （P〈0.05）.However,in multiple lesions（over 3 in unilateral breast）and 20-30 mm lesions,the incidence rate of hematoma was significantly higher than that in the control group （P〈0.05）.Postoperative residual occurred in 2 cases with 20-30 mm lesions in the Mammotome group and 3 cases of patients with 5-10 mm lesions in the control group.CONCLUSIONS：The ultrasound guided mammotome minimally invasive surgery can shorten the operating time and obtain better cosmetic effect and psychological satisfactory degree in contrast with the traditional therapy,especially in the treatment of benign breast lesion with diameters less than 30 mm.Therefore,it is a good method that is worth of clinical application.

关 键 词：MAMMOTOME旋切系统 乳腺良性疾病 微创手术 超声 

分 类 号：R737.9[医药卫生—肿瘤]