麦默通十字交叉法结合平移法旋切较大良性乳腺肿块的可行性研究  

Mammotome system in treatment of large benign breast tumor

作　　者：殷虹[1] 王凤良[1] 杲圣[1] 陈飞[1] 陆澄[1] 

机构地区：[1]南京医科大学附属南京妇幼保健院乳腺外科,210004

出　　处：《中华内分泌外科杂志》2014年第5期406-408,共3页Chinese Journal of Endocrine Surgery

基　　金：江苏省自然科学基金（2013省012）;南京市卫生局医学科技发展课题（QYK10157）

摘　　要：目的 探索口径为2.5 cm旋切槽的麦默通旋切系统（mammotome,MMT）,通过十字交叉法结合平移法旋切切除直径3-6 cm较大良性乳腺病灶的可行性.方法 试验组160例,乳腺肿物直径3 -6 cm,麦默通结合高频超声引导,采用十字交叉平移法旋切术.对照组160例,病灶直径＜2.5 cm,接受麦默通常规手术治疗.2组治疗疗效及并发症进行比较,统计学分析采用,检验.结果 手术成功率100％.在术中出血、皮肤瘀斑、术后血肿的发生率方面行x2检验,2组差异均无统计学意义（χ2 =0.251 8,P=0.616;χ2 =0.328 2,P=0.567;χ2=0.146 3,P=0.702）,手术瘢痕外观及并发症方面,2组差异无统计学意义.结论 麦默通十字交叉平移法旋切术切除3-6 cm较大良性乳腺肿块可行,具有安全、微创、美容、并发症少等优点,有一定的应用价值.Objective To explore the possibility of using the mammotome system （MMT） with 2.5 cm spiral cutting mode to resect benign tumor of 3-6 cm in diameter.Methods The study group consisted of 160 patients with tumor of 3-6 cm in diameter,who received treatment of MMT cross combination with parallel rotary cutting method.The control group consisted of 160 patients with tumor 〈 2.5 cm and received routine MMT operation.The therapeutic effects and complications of the two groups were compared.Chi-sqare test was used for statistical analysis.Results All operations were successful on MMT.There was no statistical difference in intraoperative bleeding,skin ecchymosis and postoperative hematomas between the two groups（χ2 =0.251 8,P =0.616;χ2 =0.328 2,P =0.567 ;χ2 =0.146 3,P =0.702）.The hospitalization duration,the operation scar and other complications were similar between the two groups.Conclusions The MMT cross combination with parallel rotary cutting method can be used to resect 3-6 cm benign breast tumors.It has the advantages of safety,efficiency,minimal invasiveness,covertincision,good cosmetic effect and low complications.

关 键 词：麦默通系统 乳腺肿块 可行性 

分 类 号：R737.9[医药卫生—肿瘤]