CAJ | 학술논문

目的：探讨麦默通微创旋切技术治疗慢性乳腺炎的临床可行性和操作技巧。方法37例慢性乳腺炎患者,应用超声引导下麦默通微创旋切术辅以残腔置管冲洗引流,观察其治愈率和复发率。结果37例患者手术时间15~50 min,平均手术时间25 min；术后拔管时间拔管时间3~15 d,平均拔管时间4.6 d；术后随访2年,一期治愈率为94.6%(35/37),2例复发患者均行2次微创旋切治愈。结论应用麦默通微创旋切技术治疗慢性乳腺炎切口小,乳房外形改变小,疗效确切,值得在临床推广应用。
목적：탐토맥묵통미창선절기술치료만성유선염적림상가행성화조작기교。방법37례만성유선염환자,응용초성인도하맥묵통미창선절술보이잔강치관충세인류,관찰기치유솔화복발솔。결과37례환자수술시간15~50 min,평균수술시간25 min；술후발관시간발관시간3~15 d,평균발관시간4.6 d；술후수방2년,일기치유솔위94.6%(35/37),2례복발환자균행2차미창선절치유。결론응용맥묵통미창선절기술치료만성유선염절구소,유방외형개변소,료효학절,치득재림상추엄응용。
Objective To explore the clinical feasibility and operation skill of mammotome minimally invasive technique in the treatment of chronic mastitis. Methods A total of 37 cases of chronic mastitis were treated by ultrasound guided mammotome minimally invasive surgery supplemented by douching and drainage, and their cure rates and recurrence rates were observed. Results The operation time of the 37 cases ranged from 15 min to 50 min, with the average time of 25 min;the postoperative extubation time ranged from 3 days to 15 days, with the average time of 4.6 days;time of postoperative follow-up was 2 years, and the cure rate was 94.6%(35/37). 2 recurrent cases were cured by secondary minimally invasive surgery. Conclusion The application of mammotome minimally invasive technique for the treatment of chronic mastitis has advantage of small incision,less change of breast shape, good curative effect, and it is worthy of clinical application.