中国医学前沿杂志（电子版）
中國醫學前沿雜誌（電子版）
중국의학전연잡지（전자판）
CHINESE JOURNAL OF THE FRONTIERS OF MEDICAL SCIENCE(ELECTRONIC VERSION)
2014年
7期
80-82
,共3页
潘瑞琳%叶国麟%廖富毅%梁翠琼
潘瑞琳%葉國麟%廖富毅%樑翠瓊
반서림%협국린%료부의%량취경
超声引导%Mammotome%乳腺良性肿块%并发症
超聲引導%Mammotome%乳腺良性腫塊%併髮癥
초성인도%Mammotome%유선량성종괴%병발증
Mammotome%Ultrasound guided%Breast benign tumor%Complication
目的：分析经超声引导Mammotome乳腺良性肿块切除术后118例患者并发症发生情况及术后疗效。方法2011年2月至2013年2月本院共528例患者被诊断需行乳腺肿块切除术。采用数字法将其随机分为观察组（264例）和对照组（264例）。两组患者均行乳腺肿块切除术。观察组患者采用超声引导Mammotome乳腺肿块切除术；对照组患者行常规乳腺肿块切除术。对比两组患者术后疗效、并发症等情况。结果观察组疗效为优者占71.59%（189/264），优良率为93.56%（247/264），均显著高于对照组[47.73%（126/264），64.77%（171/264）]，差异均有显著性（P均＜0.05）。术后观察组患者出现血肿46例、气胸16例、皮肤瘀斑54例、术后复发2例，经过6～24个月的随访，术后复发2例，均显著少于对照组（血肿54例、气胸21例、皮肤瘀斑63例、术后复发19例），差异均有显著性（P均＜0.05）。观察组患者出血量为（1.83±0.31）ml，出血时间为（3.61±1.25）分钟，均显著少于对照组[（15.57±2.18）ml、（20.54±2.83）分钟]，差异均有显著性（P均＜0.05）。结论超声引导Mammotome乳腺良性肿块切除术后患者并发症少，且疗效更显著，复发少，安全性高，术后效果更加美观，值得在临床常规手术治疗中推广应用。
目的：分析經超聲引導Mammotome乳腺良性腫塊切除術後118例患者併髮癥髮生情況及術後療效。方法2011年2月至2013年2月本院共528例患者被診斷需行乳腺腫塊切除術。採用數字法將其隨機分為觀察組（264例）和對照組（264例）。兩組患者均行乳腺腫塊切除術。觀察組患者採用超聲引導Mammotome乳腺腫塊切除術；對照組患者行常規乳腺腫塊切除術。對比兩組患者術後療效、併髮癥等情況。結果觀察組療效為優者佔71.59%（189/264），優良率為93.56%（247/264），均顯著高于對照組[47.73%（126/264），64.77%（171/264）]，差異均有顯著性（P均＜0.05）。術後觀察組患者齣現血腫46例、氣胸16例、皮膚瘀斑54例、術後複髮2例，經過6～24箇月的隨訪，術後複髮2例，均顯著少于對照組（血腫54例、氣胸21例、皮膚瘀斑63例、術後複髮19例），差異均有顯著性（P均＜0.05）。觀察組患者齣血量為（1.83±0.31）ml，齣血時間為（3.61±1.25）分鐘，均顯著少于對照組[（15.57±2.18）ml、（20.54±2.83）分鐘]，差異均有顯著性（P均＜0.05）。結論超聲引導Mammotome乳腺良性腫塊切除術後患者併髮癥少，且療效更顯著，複髮少，安全性高，術後效果更加美觀，值得在臨床常規手術治療中推廣應用。
목적：분석경초성인도Mammotome유선량성종괴절제술후118례환자병발증발생정황급술후료효。방법2011년2월지2013년2월본원공528례환자피진단수행유선종괴절제술。채용수자법장기수궤분위관찰조（264례）화대조조（264례）。량조환자균행유선종괴절제술。관찰조환자채용초성인도Mammotome유선종괴절제술；대조조환자행상규유선종괴절제술。대비량조환자술후료효、병발증등정황。결과관찰조료효위우자점71.59%（189/264），우량솔위93.56%（247/264），균현저고우대조조[47.73%（126/264），64.77%（171/264）]，차이균유현저성（P균＜0.05）。술후관찰조환자출현혈종46례、기흉16례、피부어반54례、술후복발2례，경과6～24개월적수방，술후복발2례，균현저소우대조조（혈종54례、기흉21례、피부어반63례、술후복발19례），차이균유현저성（P균＜0.05）。관찰조환자출혈량위（1.83±0.31）ml，출혈시간위（3.61±1.25）분종，균현저소우대조조[（15.57±2.18）ml、（20.54±2.83）분종]，차이균유현저성（P균＜0.05）。결론초성인도Mammotome유선량성종괴절제술후환자병발증소，차료효경현저，복발소，안전성고，술후효과경가미관，치득재림상상규수술치료중추엄응용。
Objective To analyze the Mammotome of benign breast mass resection of 118 cases with complications after guided by ultrasound. Method From February 2011 to February 2013 in our hospital, a total of 528 cases of patients were diagnosed for breast surgery. The figures were randomly divided into observation group (264 cases) and control group (264 cases). On two groups of patients underwent lumpectomy. The observation group were treated by ultrasound guided Mammotome for breast mass excision; the control group underwent lumpectomy. Compared two groups of patients with postoperative curative effect, complications. Result The curative effect of therapeutic group was excellent accounted for more than 71.59%(189/264), the excellent and good rate was 93.56%(247/264), were signiifcantly higher than those in control group 47.73%(126/264), 64.77%(171/264). The differences were statistically significant (P < 0.05). The patients in observation group were 118 cases occurred complications, postoperative patients with hematoma occurred in 46 cases, 16 cases of pneumothorax, skin ecchymosis in 54 cases, after 6~24 months of followed-up, 2 cases of postoperative recurrence, were signiifcantly less than that of the control group of 54 cases, 21 cases, 63 cases, 19 cases. The differences were statistically signiifcant (P<0.05). The observation group was (1.83±0.31) ml, amount of bleeding, bleeding when the length of (3.61±1.25) minutes, were signiifcantly less than that of the control group was (15.57±2.18) ml, (20.54±2.83) minutes. The differences were statistically signiifcant (P<0.05). Conclusion Ultrasound guided Mammotome benign breast tumor resection with fewer postoperative complications, and more remarkable curative effect, less recurrence, high safety, postoperative effect is more beautiful, is worth to be widely used in clinical routine operation therapy.
