吸脂联合微创旋切术切除腋下副乳腺的临床应用价值  

Removal of axillary accessory breast by liposuction combined with minimally invasive biopsy

作　　者：唐欣[1] 王钢乐[1] 李秀楠[1] 刘爱蕙[1] 董懿[1] 纪楠[1] 

机构地区：[1]首都医科大学附属北京妇产医院乳腺科,北京100006

出　　处：《中华乳腺病杂志（电子版）》2016年第3期161-165,共5页Chinese Journal of Breast Disease(Electronic Edition)

摘　　要：目的比较超声引导下吸脂联合微创旋切术与单纯微创旋切手术在腋下副乳腺治疗中的效果。方法回顾性分析2013年8月至2015年6月在首都医科大学附属北京妇产医院乳腺科行超声引导下吸脂联合微创旋切术切除副乳腺的35例患者（70个副乳腺）的临床资料，并与同期行单纯微创旋切术切除副乳腺的29例患者（50个副乳腺）的临床资料进行对比。偏态分布的计量资料用肘（P25～P75）表示，并采用非参数检验比较两组患者手术时间和术中出血量的差异。结果吸脂联合微创旋切手术组患者手术时间中位数为28．3（24．5—34．8）min，术中出血量中位数为13．2（8．4—16．6）ml；单纯微创手术组患者手术时间中位数为50．3（40．1～52．7）min，术中出血量中位数为27．1（22．0～33．1）ml。两组相比，前者手术时间更短（Z=-8．91，P〈0．001），出血量更少（Z=-9．11，P〈0．001）。结论副乳腺手术中采用吸脂联合微创旋切术，较单纯微创旋切术更高效，术后局部美容效果佳，出血少，易于临床推广。Objective To compare the outcome of ultrasound-guided minimally invasive biopsy with or without liposuction in treatment of accessory breast. Methods We retrospectively analyzed the clinical data of 35 patients （70 accessory breasts） resected by liposuction combined with ultrasound-guided minimally invasive biopsy （combined treatment group） and 29 patients （50 accessory breasts） treated by minimally invasive biopsy alone （Mammotome group） in Department of Breast Surgery, Beijing Obstetrics and Gynecology Hospital of Capital Medical University from August 2013 to June 2015. Skewed distribution data were described as M （P25-P75）. The operative time and blood loss between two groups were analyzed by non-parametric test. Results The median operation time was 28. 3 （24. 5-34. 8） min in combined treatment group, significantly shorter than 50. 3（40. 1-52.7） rain in Mammotome group （Z= -8. 91, P〈0. 001 ）. The median intraoperative blood loss was 13.2 （8.4-16.6） ml in combined treatment group, less than 27.1 （22.0-33.1） ml in Mammotome group （ Z = -9. 11, P 〈 0. 001 ）. Conclusion Liposuction combined with minimally invasive biopsy for treatment of accessory breasts has the advantages of higher efficiency, less bleeding, better cosmetic results compared with minimally invasive biopsy alone, worthy of clinical application.

关 键 词：乳房 畸形 外科手术 微创性 

分 类 号：R655.8[医药卫生—外科学]