中华内分泌外科杂志
中華內分泌外科雜誌
중화내분비외과잡지
CHINESE JOURNAL OF ENDOCRINE SURGERY
2014年
5期
409-412
,共4页
任洪伟%代红菊%邱体红%罗红%任庭州
任洪偉%代紅菊%邱體紅%囉紅%任庭州
임홍위%대홍국%구체홍%라홍%임정주
乳腺肿块%麦默通旋切系统%微创手术%适应证
乳腺腫塊%麥默通鏇切繫統%微創手術%適應證
유선종괴%맥묵통선절계통%미창수술%괄응증
Breast lesion%Mammotome%Minimally invasive surgery%Indication
目的 探讨麦默通(mammotome,MMT)在乳腺疾病应用的适应证、手术方法、操作技巧及并发症的预防.方法 四川省攀枝花市中心医院2009年8月至2013年8月4年间据病灶的位置选择不同切口及针道入路,采用“十字交叉法”顺利完成乳腺MMT微创活检手术1356例,共3676个病灶,总结分析其适应证、手术操作及并发症预防的经验和教训.结果 左乳病灶775个,右乳病灶639个,单发病灶652例,多发病灶865例,共3024个病灶.病理结果:囊性肿块320枚,占8.71％(320/3676)为腺病伴导管扩张或伴大汗腺化生;囊实性肿块36枚,占0.98％ (36/3676)为导管内乳头状瘤;实性肿块3310枚,占90.04％,其中乳腺癌13例,占0.39％(13/3310),纤维腺瘤2246例,占67.85％(2246/3310);腺病1051例,占31.75％(1051/3310);钙化灶10处为腺病.13例乳腺癌均改行改良根治术.术后皮肤青紫、瘀斑184例,占5％,血肿36例,占0.98％.无一例病灶残留.结论 通过对MMT微创手术适应证的严格限定,采用“十字交叉法”手术操作,把握好切口和针道入路的选择,MMT微创手术可以达到安全、美观、微创、完全切除的理想效果.
目的 探討麥默通(mammotome,MMT)在乳腺疾病應用的適應證、手術方法、操作技巧及併髮癥的預防.方法 四川省攀枝花市中心醫院2009年8月至2013年8月4年間據病竈的位置選擇不同切口及針道入路,採用“十字交扠法”順利完成乳腺MMT微創活檢手術1356例,共3676箇病竈,總結分析其適應證、手術操作及併髮癥預防的經驗和教訓.結果 左乳病竈775箇,右乳病竈639箇,單髮病竈652例,多髮病竈865例,共3024箇病竈.病理結果:囊性腫塊320枚,佔8.71％(320/3676)為腺病伴導管擴張或伴大汗腺化生;囊實性腫塊36枚,佔0.98％ (36/3676)為導管內乳頭狀瘤;實性腫塊3310枚,佔90.04％,其中乳腺癌13例,佔0.39％(13/3310),纖維腺瘤2246例,佔67.85％(2246/3310);腺病1051例,佔31.75％(1051/3310);鈣化竈10處為腺病.13例乳腺癌均改行改良根治術.術後皮膚青紫、瘀斑184例,佔5％,血腫36例,佔0.98％.無一例病竈殘留.結論 通過對MMT微創手術適應證的嚴格限定,採用“十字交扠法”手術操作,把握好切口和針道入路的選擇,MMT微創手術可以達到安全、美觀、微創、完全切除的理想效果.
목적 탐토맥묵통(mammotome,MMT)재유선질병응용적괄응증、수술방법、조작기교급병발증적예방.방법 사천성반지화시중심의원2009년8월지2013년8월4년간거병조적위치선택불동절구급침도입로,채용“십자교차법”순리완성유선MMT미창활검수술1356례,공3676개병조,총결분석기괄응증、수술조작급병발증예방적경험화교훈.결과 좌유병조775개,우유병조639개,단발병조652례,다발병조865례,공3024개병조.병리결과:낭성종괴320매,점8.71％(320/3676)위선병반도관확장혹반대한선화생;낭실성종괴36매,점0.98％ (36/3676)위도관내유두상류;실성종괴3310매,점90.04％,기중유선암13례,점0.39％(13/3310),섬유선류2246례,점67.85％(2246/3310);선병1051례,점31.75％(1051/3310);개화조10처위선병.13례유선암균개행개량근치술.술후피부청자、어반184례,점5％,혈종36례,점0.98％.무일례병조잔류.결론 통과대MMT미창수술괄응증적엄격한정,채용“십자교차법”수술조작,파악호절구화침도입로적선택,MMT미창수술가이체도안전、미관、미창、완전절제적이상효과.
Objective To explore the indication,operative methods,operation skill and prevention of complications of mammotome(MMT) in breast diseases.Methods From Aug.2009 to Aug.2013,3676 breast lesions in 1356 patients received MMT micro-invasive operation by decussation process with different incision and needle tracks according to the location of lesions.Experience of the indication,operation technique and prevention of complications were summed up.Results 775 lesions were in left breast and 639 in right breast.652 patients had single lesion and 865 patients had multiple lesions.The pathology results:320 cysts (8.71％,320/3676) were adenosis of breast with mammary duct ectasia or with metaplasia apocrine.36 solid and cystic tumors (0.98％,36/3676)were intraductal papillomas.3310 solid tumors (90.04％)included 13 breast cancers (0.39％,13/3310),2246 fibroadenomas(67.85％,2246/3310) and 1051 adenosis(31.75％,1051/3310).10nodules of calcification were adenosis of breast.13 patients with breast cancer received modified radical mastectomy.The postoperative results:skin bruises in 184 cases(5％),hematoma in 36 cases(0.98％).No postoperative residual was found.Conclusion According to the strict application of MMT minimally invasive surgery and by decussation process based on the appropriate incision and needle track,MMT minimally invasive surgery can achieve safe,minimally invasive,good-looking and completely removal effect.
