单人操作麦默通旋切系统在乳腺良性肿瘤微创手术中的应用  

Single-person operated Mammotome minimally invasive system in treating benign breast lesions

作　　者：刘东[1] 鲁凯[1] 徐良[1] 刘苏[1] 张鑫[1] 

机构地区：[1]连云港市第二人民医院普通外科,222023

出　　处：《中华内分泌外科杂志》2016年第2期159-162,共4页Chinese Journal of Endocrine Surgery

摘　　要：目的探讨单人操作麦默通（Mammotome）微创手术切除乳腺良性肿瘤的临床经验。方法对连云港市第二人民医院普通外科2012年1月至2014年12月期间收治的403例乳腺良性肿瘤患者的临床资料进行回顾性分析，行单人操作超声引导下麦默通微创旋切术的262例乳腺良性肿块患者为治疗组，另选择同期行常规开放手术的141例乳腺良性肿块患者作为对照组，比较2组手术时间、术中出血量、瘢痕大小、术后愈合时间及手术并发症。结果治疗组的手术时间为（15．3±3．1）min，术中出血量为（3．2±2．3）ml，手术瘢痕长度为（0．3±0．2）cm，术口愈合时间为（2．8±1．6）d，均显著少于对照组（P〈0．05）；治疗组术后疼痛的发生率为3．05％，局部瘀斑的发生率为2．67％，未发生局部感染、乳腺畸形；术后复发率为2．29％，对照组术后疼痛的发生率为8．51％，局部瘀斑的发生率为7．09％，局部感染的发生率为4．26％，乳腺畸形的发生率为2．83％，术后复发率为3．54％，治疗组患者术后疼痛，局部瘀斑、局部感染以及乳腺畸形的发生率均显著低于对照组（P〈0．05）；2组对比术后复发率差异无统计学意义（P〉0．05）。结论乳腺良性肿瘤应用单人操作麦默通旋切术具有手术时间短、美容、手术创伤小、术中出血少、术后愈合快及手术并发症少等优点，值得临床推广。Objective To explore the application of single-person operated mammotome minimally inva- sive surgery in treatment of benign breast lesions. Methods Clinical information of 403 patients were collected and retrospectively analyzed. 262 patients receiving ultrasound guided single-person operated mammotome minimally invasive surgery for benign breast masses were selected as the treatment group, 141 patients undergoing open surgery for treatment of benign breast masses were selected as the control group.Operative time, introopera- tive blood loss,length of stay,postoperative healing time, as well as the occurrence of complications were compared between the two groups. Result Compared with the control group, the operative time was shorter, the in traoperative blood loss was less, the scar size and the postoperative healing time were shorter for the treatment group. The difference had statistical significance （P〈0.05）.The rate of postoperative pain, local ecchymosis, local infection and breast deformity for the treatment group was significantly lower than those of the control group （P〈 0.05）. The difference had statistical significance （P〈0.05）. The recurrence rate between the two groups had no sta- tistical significance （P〉0.05）. Conclusions Single-person operated Mammotome minimally invasive surgery has the advantages of good operative time, good cosmetic effects, small surgical trauma, less blood loss, fast postoperative healing and few complications, which is worthy of clinical application.

关 键 词：乳腺良性肿块 麦默通微创旋切系统 开放手术 

分 类 号：R737.9[医药卫生—肿瘤]