麦默通系统与传统手术治疗乳腺较大良性肿块的比较  

Comparison of Mammotome system and conventional resection in treatment of larger benign breast mass

作　　者：沈伟娟[1] 张溢 

机构地区：[1]常州市武进人民医院乳腺外科,江苏省213002

出　　处：《江苏医药》2017年第22期1609-1611,共3页Jiangsu Medical Journal

摘　　要：目的比较麦默通系统(MMT)与传统乳腺肿块切除术在乳腺较大良性肿块治疗中的优劣。方法 90例乳腺良性肿块(直径2~5cm)患者按手术方式分为MMT组(40例)和传统乳腺肿块切除术组(对照组,50例),比较两组各项手术相关指标。结果与对照组相比,MMT组术后乳腺形态改变少(2.5%vs.18.0%),切口感染率低(2.5%vs.20.0%),患者满意率高(97.5%vs.80.0%),但术中出血多[(19.13±6.29)ml vs.(11.04±8.58)ml],术后3d皮下瘀斑或血肿发生率高(20.0%vs.4.0%),术后3个月肿块残留率高(20.0%vs.4.0%),住院总费用高[(10362.30±2625.79)元vs.(6950.30±1747.24)元](P均<0.05)。结论与传统手术相比,MMT治疗乳腺较大良性肿块具有美观、切口感染率低的优点,但术中出血多,易形成乳腺内血肿和肿块残留,总费用高。Objective To compare the outcomes of Mammotome system（MMT）and conventional resection in the treatment of larger benign breast mass.Methods Ninety patients with larger benign breast mass（diameter 2-5 cm）undergoing lumpectomy were divided into two groups of MMT（using MMT,40 cases）and C（using traditional resection,50 cases）.The operation-related indicators were compared between two groups.Results Compared with group C,group MMT had less change in breast shape（2.5% vs.18.0% ）,lower incision infection rate（2.5% vs.20.0% ）（P〈0.05）,higher satisfaction rate（97.5% vs.80.0% ）,more intraoperative blood loss[（19.13±6.29）ml vs.（11.04±8.58）ml],higher incidences of subcutaneous ecchymosis or hematoma in 3 days after operation（20.0% vs.4.0% ）and residual tumor in 3 months after operation（20.0% vs.4.0% ）and more medical cost[（10362.30±2625.79）yuan vs.（6950.30±1747.24）yuan]（P〈0.05）.Conclusion Compared with conventional resection,MMT has the advantages of cosmetic result and less incision infection and the disadvantages of higher intraoperative blood loss,easier to form breast hematoma and residual tumor and more total cost in the treatment of larger benign breast mass.

关 键 词：麦默通系统 乳腺良性肿块 

分 类 号：R655[医药卫生—外科学]