CAJ | 학술논문

目的探索口径为2.5 cm旋切槽的麦默通旋切系统(mammotome,MMT),通过十字交叉法结合平移法旋切切除直径3～6 cm较大良性乳腺病灶的可行性.方法试验组160例,乳腺肿物直径3 ～6 cm,麦默通结合高频超声引导,采用十字交叉平移法旋切术.对照组160例,病灶直径＜2.5 cm,接受麦默通常规手术治疗.2组治疗疗效及并发症进行比较,统计学分析采用,检验.结果手术成功率100％.在术中出血、皮肤瘀斑、术后血肿的发生率方面行x2检验,2组差异均无统计学意义(x2 =0.251 8,P=0.616;x2 =0.328 2,P=0.567;x2=0.146 3,P=0.702),手术瘢痕外观及并发症方面,2组差异无统计学意义.结论麦默通十字交叉平移法旋切术切除3～6 cm较大良性乳腺肿块可行,具有安全、微创、美容、并发症少等优点,有一定的应用价值.
목적 탐색구경위2.5 cm선절조적맥묵통선절계통(mammotome,MMT),통과십자교차법결합평이법선절절제직경3～6 cm교대량성유선병조적가행성.방법 시험조160례,유선종물직경3 ～6 cm,맥묵통결합고빈초성인도,채용십자교차평이법선절술.대조조160례,병조직경＜2.5 cm,접수맥묵통상규수술치료.2조치료료효급병발증진행비교,통계학분석채용,검험.결과 수술성공솔100％.재술중출혈、피부어반、술후혈종적발생솔방면행x2검험,2조차이균무통계학의의(x2 =0.251 8,P=0.616;x2 =0.328 2,P=0.567;x2=0.146 3,P=0.702),수술반흔외관급병발증방면,2조차이무통계학의의.결론 맥묵통십자교차평이법선절술절제3～6 cm교대량성유선종괴가행,구유안전、미창、미용、병발증소등우점,유일정적응용개치.
Objective To explore the possibility of using the mammotome system (MMT) with 2.5 cm spiral cutting mode to resect benign tumor of 3-6 cm in diameter.Methods The study group consisted of 160 patients with tumor of 3-6 cm in diameter,who received treatment of MMT cross combination with parallel rotary cutting method.The control group consisted of 160 patients with tumor ＜ 2.5 cm and received routine MMT operation.The therapeutic effects and complications of the two groups were compared.Chi-sqare test was used for statistical analysis.Results All operations were successful on MMT.There was no statistical difference in intraoperative bleeding,skin ecchymosis and postoperative hematomas between the two groups(x2 =0.251 8,P =0.616;x2 =0.328 2,P =0.567 ;x2 =0.146 3,P =0.702).The hospitalization duration,the operation scar and other complications were similar between the two groups.Conclusions The MMT cross combination with parallel rotary cutting method can be used to resect 3-6 cm benign breast tumors.It has the advantages of safety,efficiency,minimal invasiveness,covertincision,good cosmetic effect and low complications.