中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
32期
119-121
,共3页
引流%麦默通%乳腺多发良性肿块%术后出血
引流%麥默通%乳腺多髮良性腫塊%術後齣血
인류%맥묵통%유선다발량성종괴%술후출혈
Drainage%Mammotome%Multiple breast benign tumor%Postoperative bleeding
目的：探讨超声引导下麦默通（Mammotome）微创旋切术处理乳腺多发良性肿块术中引流的应用及优势，总结麦默通技术的经验及注意事项。方法：回顾性分析2011年6月-2014年3月106例289处乳腺病灶行超声引导下麦默通微创旋切术的临床资料，根据手术细节的不同分成术中引流组54例患者及非引流组52例患者，观察两组治疗结果的差异。结果：106例289处乳腺病灶均完整切除，非引流组出现5例术后出血。与非引流组相比，术中引流可明显降低术后血肿的发生率，差异具有统计学意义（P<0.05）。两组手术时间比较差异无统计学意义（P>0.05）。结论：超声引导下麦默通微创旋切术对乳腺多发良性肿块可达到准确切除及兼顾美容的治疗目的，操作简单、安全，手术并发症少，如采用术中引流的方法更能减少术后出血的发生率，且不明显增加手术时间，值得推广。
目的：探討超聲引導下麥默通（Mammotome）微創鏇切術處理乳腺多髮良性腫塊術中引流的應用及優勢，總結麥默通技術的經驗及註意事項。方法：迴顧性分析2011年6月-2014年3月106例289處乳腺病竈行超聲引導下麥默通微創鏇切術的臨床資料，根據手術細節的不同分成術中引流組54例患者及非引流組52例患者，觀察兩組治療結果的差異。結果：106例289處乳腺病竈均完整切除，非引流組齣現5例術後齣血。與非引流組相比，術中引流可明顯降低術後血腫的髮生率，差異具有統計學意義（P<0.05）。兩組手術時間比較差異無統計學意義（P>0.05）。結論：超聲引導下麥默通微創鏇切術對乳腺多髮良性腫塊可達到準確切除及兼顧美容的治療目的，操作簡單、安全，手術併髮癥少，如採用術中引流的方法更能減少術後齣血的髮生率，且不明顯增加手術時間，值得推廣。
목적：탐토초성인도하맥묵통（Mammotome）미창선절술처리유선다발량성종괴술중인류적응용급우세，총결맥묵통기술적경험급주의사항。방법：회고성분석2011년6월-2014년3월106례289처유선병조행초성인도하맥묵통미창선절술적림상자료，근거수술세절적불동분성술중인류조54례환자급비인류조52례환자，관찰량조치료결과적차이。결과：106례289처유선병조균완정절제，비인류조출현5례술후출혈。여비인류조상비，술중인류가명현강저술후혈종적발생솔，차이구유통계학의의（P<0.05）。량조수술시간비교차이무통계학의의（P>0.05）。결론：초성인도하맥묵통미창선절술대유선다발량성종괴가체도준학절제급겸고미용적치료목적，조작간단、안전，수술병발증소，여채용술중인류적방법경능감소술후출혈적발생솔，차불명현증가수술시간，치득추엄。
Objective:To discuss the applications and advantages of drainage in multiple breast benign tumor treatment by using ultrasound-guided Mammotome minimally invasive surgery,and summarize the precautions of the surgery.Method:The clinical information of 106 patients between June 2011 and March 2014 were retrospective reviewed.A total of 289 breast lesions underwent ultrasound-guided mammotome minimally invasive surgery,which were separated into surgical drainage group of 54 cases and non-surgical drainage group of 52 cases,depended on the details of the surgery.The differences of treatment results were observed.Result:289 breast lesions in 106 patients were resected completely.5 cases in non-surgical drainage group occurred postoperative bleeding.Compared with the non-surgical drainage group,surgical drainage group can obviously reduce the incidence of postoperative hematoma,the difference was statistically significant(P<0.05).There were no significant differences in operation time between two groups.Conclusion:Ultrasound-guided mammotome technique is regarded as a simple,safe,accurate and minimally invasive method for the removal of multiple benign breast lumps,with less surgical complications.Using surgical drainage could decrease postoperative bleeding incidence in ultrasound-guided Mammotome minimally invasive surgery,without increasing the surgical time.
