Mammotome手术治疗良性乳腺肿物的可行性及临床价值分析  

Feasibility and Clinical Value Analysis of Mammotome Operation for the Treatment of Benign Breast Tumor Patients

作　　者：李杰宝[1] 

机构地区：[1]武汉市第一医院,湖北武汉430000

出　　处：《中国医学创新》2016年第5期14-17,共4页Medical Innovation of China

基　　金：2015年度武汉市临床医学科研项目(WX15B17)

摘　　要：目的:探讨Mammotome手术治疗良性乳腺肿物的有效性及安全性。方法:将2012年9月-2014年9月本院收治的110例乳腺良性肿物患者按照随机数字表法分为观察组和对照组,每组55例。对照组行常规切除术,观察组采用Mamotomme乳房微创旋切系统;比较两组患者手术时间、住院时间、术中出血量、手术瘢痕长度及肿物完整切除率、乳房变形率、患者对手术的满意率;并记录两组患者并发症发生情况。结果:观察组的手术时间、住院时间均显著短于对照组,术中出血量显著少于对照组,手术瘢痕长度显著小于对照组,差异均有统计学意义(P<0.05)。观察组肿物完整切除率、患者满意率均显著高于对照组,乳房变形率显著低于对照组,差异均有统计学意义(P<0.05)。观察组术后血肿、皮下瘀斑、皮肤瘙痒发生率均显著低于对照组,差异均有统计学意义(P<0.05)。结论:Mamotomme乳房微创旋切系统能够显著减少手术时间和术中的创伤性,术后美容效果好,并发症发生率低,值得临床推广。Objective： To explore the efficacy and safety of Mammotome operation for the treatment of benign breast tumor patients.Method： A total of 110 patients with benign breast tumor from September 2012 to September 2014 were selected in our hospital, they were divided into the observation group and the control group according to the random number table method, 55 cases in each group.The control group received routine resection, the observation group was treated with Mamotomme breast minimally invasive system.The operation time, hospitalization time, intraoperative bleeding volume, operation scar length and tumor resection rate, breast deformation rate, patients＇ satisfaction rate between the two group were compared, and the complications incidence of the two groups were recorded.Result ： The operation time and hospitalization time of the observation group were significantly shorter than those of the control group, the intraoperative bleeding volume was significantly fewer than that of control group, the scar length was significantly less than that of control group, the differences were statistically significant （ P〈0.05 ） .The complete resection rate and patients＇ satisfaction rate of the observation group were significantly higher than those of the control group, the breast deformation rate was significantly lower than that of the control group, the differences were statistically significant （ P〈0.05 ） .The incidence of hematoma, ecchymosis, skin pruritus in the observation group after operation were significantly lower than the control group, the differences were statistically significant （ P〈0.05 ） .Conclusion： Mamotomme breast minimally invasive system can significantly reduce the operation time and intraoperative trauma, with good cosmetic effect, complication occurence rate is low, and is worth of clinical promotion.

关 键 词：麦默通乳房微创旋切系统 良性乳腺肿物 传统乳腺肿物切除 临床疗效 

分 类 号：R737.9[医药卫生—肿瘤]