医学美学美容（中旬刊）
醫學美學美容（中旬刊）
의학미학미용（중순간）
MEDICAL AESTHETICS AND COSMETOLOGY
2014年
6期
67-67
,共1页
微创旋切系统%乳腺%纤维瘤
微創鏇切繫統%乳腺%纖維瘤
미창선절계통%유선%섬유류
The Mammotome System%Mammary gland%Fibroma
目的：观察乳腺微创旋切系统应用于乳腺纤维瘤切除术的临床效果。方法：选择我院2010-2012年期间符合纳入标准的乳腺纤维瘤切除术300例，分观察组和对照组，对照组传统手术方式切开皮肤、皮下组织、腺体，切除纤维瘤，观察组采用乳腺微创旋切系统在超声引导定位下使用空心针微创活检术摘除纤维瘤，对比观察分析两组病人术中精确定位率、创口长度、术中出血量、手术时间、瘢痕、美容效果、切口愈合情况等多项指标。结果：（1）两组病人的术前、术中、术后的血压、心率、呼吸均无明显差异，切口甲级愈合率均达到100％。（2）观察组在术中病灶的精确定位率高出14％，平均每台术中出血量减少约14ml、创口长度约短36mm、手术时间节约10min，3月后门诊随访，对照组术后瘢痕长宽均值与切口长度相当，观察组部分病人切口瘢痕不明显、部分病人与切口长度相当，总体美观性较佳。结论：乳腺微创旋切系统术中定位精确、出血量少、手术时间短、切口微小，美容效果好。
目的：觀察乳腺微創鏇切繫統應用于乳腺纖維瘤切除術的臨床效果。方法：選擇我院2010-2012年期間符閤納入標準的乳腺纖維瘤切除術300例，分觀察組和對照組，對照組傳統手術方式切開皮膚、皮下組織、腺體，切除纖維瘤，觀察組採用乳腺微創鏇切繫統在超聲引導定位下使用空心針微創活檢術摘除纖維瘤，對比觀察分析兩組病人術中精確定位率、創口長度、術中齣血量、手術時間、瘢痕、美容效果、切口愈閤情況等多項指標。結果：（1）兩組病人的術前、術中、術後的血壓、心率、呼吸均無明顯差異，切口甲級愈閤率均達到100％。（2）觀察組在術中病竈的精確定位率高齣14％，平均每檯術中齣血量減少約14ml、創口長度約短36mm、手術時間節約10min，3月後門診隨訪，對照組術後瘢痕長寬均值與切口長度相噹，觀察組部分病人切口瘢痕不明顯、部分病人與切口長度相噹，總體美觀性較佳。結論：乳腺微創鏇切繫統術中定位精確、齣血量少、手術時間短、切口微小，美容效果好。
목적：관찰유선미창선절계통응용우유선섬유류절제술적림상효과。방법：선택아원2010-2012년기간부합납입표준적유선섬유류절제술300례，분관찰조화대조조，대조조전통수술방식절개피부、피하조직、선체，절제섬유류，관찰조채용유선미창선절계통재초성인도정위하사용공심침미창활검술적제섬유류，대비관찰분석량조병인술중정학정위솔、창구장도、술중출혈량、수술시간、반흔、미용효과、절구유합정황등다항지표。결과：（1）량조병인적술전、술중、술후적혈압、심솔、호흡균무명현차이，절구갑급유합솔균체도100％。（2）관찰조재술중병조적정학정위솔고출14％，평균매태술중출혈량감소약14ml、창구장도약단36mm、수술시간절약10min，3월후문진수방，대조조술후반흔장관균치여절구장도상당，관찰조부분병인절구반흔불명현、부분병인여절구장도상당，총체미관성교가。결론：유선미창선절계통술중정위정학、출혈량소、수술시간단、절구미소，미용효과호。
[Obiective]:To observe the minimal y invasive breast rotary cut ing system is applied to the clinical ef ect of mammary gland fibroma resection.[Method]:Choose our hospital during 2010 -2012 into standard resection,300 cases of mammary gland fibroma,observation group and control group,control group of traditional way to cut the skin,subcutaneous tissue,gland surgery,remove fibroids,observation group using minimal y invasive breast rotary system in positioning using hol ow needle under minimal y invasive biopsy guided by ultrasound to excise fibroma, contrast analysis precise locating rate of two groups of patients,wound length,intraoperative blood loss,operative time,scarring,cosmetic ef ect and incision healing of many index.[Result]:(1) two groups of patients with preoperative,intraoperative and postoperative blood pressure,heart rate,breathing had no obvious dif erence,the grade a healing of incision rate achieves 100%.(2)the observation group in the precise positioning of intraoperative lesions rate was 14%,the average bleeding amount of each to reduce the length of about 14 ml,wound,operation time saving 10 min short 36 mm,outpatient fol ow -up of 3 months,the control group the mean postoperative scar width and length of incision,observation group of patients with incision scar is not obvious,parts of patients with incision length,overal aesthetics.[Conclusion]:Minimal y invasive breast intraoperative localization precision lathe cut ing system,less blood loss,shorter operation time,smal inci-sion,good cosmetic effect.
