麦默通扇形推进法旋切较大良性乳腺肿块的可行性研究  

Study on feasibility of mammotome system in the treatment of bigger benign breast tumor

作　　者：高学忠[1] 王西悦[1] 张蓉[1] 曹茵[1] 钟慕仪[1] 邓丁梅[1] 吴丽华[1] 陈彩芹[1] 吴清时[1] 

机构地区：[1]广东省东莞市人民医院乳腺科,东莞523018

出　　处：《中华乳腺病杂志（电子版）》2011年第1期21-24,共4页Chinese Journal of Breast Disease(Electronic Edition)

基　　金：东莞市科研基金项目(2008105150002)

摘　　要：目的探索麦默通旋切系统（mammotome，MMT）常规性能以外的延展功能：麦默通扇形推进法旋切术，即利用口径为2．5cm旋切槽的麦默通刀头切除直径3～6crn良性乳腺肿物的可行性。方法试验组200例，乳腺肿物直径3～6cm，采用麦默通手助结合超声导航下麦默通扇形推进法旋切术。对照组200例，病灶≤2．5cm，接受MMT常规手术治疗。治疗疗效两组进行比较。统计学分析采用卡方检验。结果手术操作成功率达100％。肿物平均切除时间为20min，平均旋切次数50次。在术中出血、皮肤瘀斑、术后血肿的发生率方面经卡方检验，两组差异均无统计学意义（X^2=0．1329，P=0．715；X^2=0．0502，P=0．823；X^2=0．0000，p=0．995）。住院时间、手术刀痕外观及并发症方面两组相当。结论麦默通扇形推进法旋切术切除3～6cm较大良性乳腺肿块是可行的，具有安全、准确、微创、美容、并发症少等优点，有一定的应用价值。Objective To explore an expanding function beyond the normal capability of the mammotome system （MMT）, that is the practicability of using the MMT with 2. 5 cm-caliber in fanshape rotary cutting mode to resect benign tumor of 3- 6 cm in diameter. Methods The study group consisted of 200 patients with tumor of 3-6 cm in diameter, who received treatment of MMT fan-shape rotary cutting method. The control group consisted of 200 patients with tumor ≤2.5 cm and received routine MMT operation. The therapeutic effects of the two groups were compared. Chi-sqare test was used. Results A 100% successive rate of operation was obtained. The average time for resecting tumors was 20 minutes and the average of cutting times was 50. There was no statistical difference in intraoperative bleeding, skin ecchymosis and postoperative hematomas between the two groups （X^2 = 0.1329, P=0.715; X^2=0.0502, P：0.823;X^2=0.0000, P=0.995）. The hospitalization duration, the operation scar and other complications were similar between the two groups. Conclusions The MMT fan-shape rotary cutting method can be used to reseet 3-6 cm benign breast tumors. It has the advantages of safety, accuracy, efficiency, minimal invasiveness, covert incision, good cosmetic effect and low complications.

关 键 词：麦默通旋切系统 可行性 较大良性乳腺肿物 

分 类 号：R655.8[医药卫生—外科学]