Mammotome微创旋切术与传统开放手术切除青春期乳房巨大纤维腺瘤的疗效分析  

Comparision of the effect between Mammotome assisted minimally invasive atherectomy and traditional surgery in treatment of youth giant breast fibroadenoma

作　　者：钱跃军 吕晶 杨迎旭 郝红君 Qian Yuejun;Lyu Jin;Yang Yingxu;Hao Hongjun(Department of Mammary Gland, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou 450007, Chin)

机构地区：[1]郑州大学附属郑州中心医院,河南450007

出　　处：《中华内分泌外科杂志》2018年第2期124-127,共4页Chinese Journal of Endocrine Surgery

基　　金：河南省医学科技攻关计划省部共建项目（201601030）

摘　　要：目的比较Mammotome微创旋切术与传统开放手术在青春期乳房巨大纤维腺瘤切除中的疗效。方法选取2009年7月至2016年1月在郑州大学附属郑州中心医院接受手术治疗的青春期乳房巨大纤维腺瘤患者75例作为研究对象，根据患者意愿接受Mammotome微创旋切术（微创手术组37例）和传统开放手术（开放手术组38例）分组，术后平均随访时间18（6—36）个月。对2组的手术时间、切口愈合时间、切口长度、术中出血量、切口感染、皮下血肿、肿瘤残留、乳房变形、瘢痕大小及患者治疗满意度进行对比分析。结果微创手术组在手术时间、术中出血量、切口感染、皮下血肿、肿瘤残留等方面较开放手术组差异无统计学意义（P〉0．05），在切口愈合时间、切口长度、乳房变形、术后瘢痕大小及患者满意度方面均明显优于开放手术组，差异均有统计学意义（P〈0．05）。结论Mammotome微创旋切术用于青少年女性乳房巨大纤维腺瘤切除具有切口愈合快、切口微小、感染几率小、乳房无变形及瘢痕隐蔽等优点，患者对治疗的满意度较高，是青春期乳腺巨大纤维腺瘤患者首选的手术治疗方法。Objective To compare the effect between Mammotome minimally invasive surgery and traditional surgery in resection of youth giant breast fibroadenoma （YGBF）. Methods We randomly selected 73 patients who had YGBF and already accepted surgical treatment in our hospital from Jul. 2009 to Jan. 2016. The 75 patients recruited from screening programmes were alloted to either treatment according to their choice （37 cases in MS and 38 cases in traditional surgery）. The median follow-up was 18 months （from 6 to 36 months）. Comparative analysis was done between the two groups in operation time, incision healing time, incision length, intraoperative bleeding, wound infection, subcutaneous hematoma, residual tumor, breast deformation, scar size, and patient satisfaction degree. Results There was no statisticaly significant difference betwen these two groups in operation time, intraoperative blood loss, incision infection, subcutaneous hematoma, or residual tumor （P〉0.05）, however, MS group was superior to traditional surgery group in the incision healing time, incision length, breast deformation, scar size and postoperative satisfaction degree, and the difference was statistically significant（P〈 0.05）. Conclusion The advantage of Mammotome minimally invasive operation auxiliary for YGBF is obvious, such as fast wound healing, small incision, infection rate, small breast without deformation and scar etc., also higher satisfaction degree to the treatment, which is regarded as the preferred surgical treatment for YGBF patients.

关 键 词：MAMMOTOME微创旋切术 传统开放手术 青春期乳房巨大纤维腺瘤 

分 类 号：R737.9[医药卫生—肿瘤]