麦默通微创旋切治疗乳腺导管内乳头状瘤的研究  

Study on the treatment of mammary intraductal papilloma by mammotome minimally invasive excision

作　　者：黄杰文[1] 李璐[1] 陈琳[1] Huang Jiewen, Li Lu, Chen Lin(People＇s Hospital of Meizhou City, Meizhou, Guangdong 51403)

机构地区：[1]广东省梅州市人民医院,广东梅州514031

出　　处：《中外女性健康研究》2018年第9期7-8,40,共3页Women＇s Health Research

摘　　要：目的:研究麦默通微创旋切术在治疗乳腺导管内乳头状瘤的应用。方法:将100例诊断为乳腺导管内乳头状瘤的患者,结合患者病情具体情况以及病人本身的意愿,分为观察组与对照组,每组50例。其中,观察组行麦默通微创旋切术,对照组行传统手术,对比两组患者的手术时间、术中出血量、术后并发症和预后。结果:观察组所用的手术时间明显低于对照组[(19.12±9.90)min vs(36.20±14.15)min;t=5.99,P<0.05];观察组术中出血量明显低于对照组,差异显著具有统计学意义[(10.8±5.6)mL vs(25.6±7.8)mL;t=6.45,P<0.05]。术后常见并发症观察组中遗留瘢痕、轻微疼痛、乳房畸形、皮下积液的发生率均显著低于对照组(P<0.05),血肿、瘀斑发生率高于对照组,但差异无统计学意义(P>0.05),术后随访1年,观察组中,有2例多发病灶病人术后发生了复发,对照组中无复发。结论:麦默通旋切系统切除乳腺导管内乳头状瘤比传统的开放性手术具有较大的优势,可以缩短手术时间,减少手术出血,也可以大大减少术后的并发症,并且创伤小、美容效果较好。对于无禁忌的乳腺导管内乳头状瘤,可选择该手术方式,对于多发病灶的患者,需要慎重选择。Objective： To explore the application of mammotome minimally invasive surgery in the treatment of intraductal papiIloma. Methods： 100 patients diagnosed as intraductal papilloma were divided into an observation group and a control group based on the patient＇s condition and the patient＇s will. Each group has 50 patients. The patients in the observation group underwent mammotome minimally invasive surgery and the patients in the control group underwent conventional surgery. A comparison of the operation time, intraoperative bleeding volume, postoperative complications and prognosis between two groups were performed.Results： The operation time in the observation group was significantly lower than that of control group [（19.12？9.90 ） min vs （36.20？4.15） min; t =5.99, P 〈 0.05]; the intraoperative bleeding volume of the observation group were significantly less than that of control group [（10.8？.6） mL vs （25.6？.8） mL; t =6.45, P 〈 0.05）. The incidence of postoperative common complications such as scar, slight pain, breast deformity and subcutaneous effusion of patients in the observation group was significantly lower than that of control group （ P 〈 0.05）; while the incidence of hematoma and ecchymosis in the observation group was higher than that of the control group, but the difference was not statistically significant （ P 〉 0.05）. And 2 intraductal papilloma patients with multiple lesions were found tumor recurrence in 1-year follow-up after operation, while there was no recurrence in the control group. Conclusion： More advantages were observed in mammotome excision of breast intraductal papilloma than traditional open surgery, which can shorten the operation time, reduce bleeding volume and greatly reduce the incidence of postoperative complications with less trauma and better cosmetic effect. It is a appropriate and available option for the patients with breast intraductal papilloma without contraindications. However, for patients with multiple lesions careful

关 键 词：乳腺导管内乳头状瘤 麦默通 微创手术 

分 类 号：R737.9[医药卫生—肿瘤]