中华医院感染学杂志
中華醫院感染學雜誌
중화의원감염학잡지
Chinese Journal of Nosocomiology
2015年
7期
1613-1615
,共3页
超声%麦默通旋切术%感染%乳腺疾病
超聲%麥默通鏇切術%感染%乳腺疾病
초성%맥묵통선절술%감염%유선질병
Ultrasound%Manmmotome atherectomy%Infection%Breast diseases
目的：探讨运用超声引导下麦默通旋切术（Mammotome Biopsy System）在乳腺感染性疾病中的治疗疗效，为临床乳腺疾病治疗提供参考依据。方法选取2011年1月－2014年1月收治的确诊乳腺感染性疾病患者284例，随机分为对照组和试验组，各142例，其中对照组采用传统的外科开放手术、试验组采用超声引导下麦默通旋切术治疗，比较两组患者临床指标，采用SPSS17．0软件进行统计分析。结果试验组平均手术切口大小、手术时间、术中出血量、术后恢复时间分别为（4．8±2．8）mm、（17．4±2．1）min、（5．2±0．9）ml、（4．1±0．2）d，明显低于对照组各项的指标，经统计分析，差异有统计学意义（P＜0．05）；两组并发症发生率差异无统计学意义。结论超声引导下麦默通微创旋切可以直观地显示病变的位置、大小、形态、浸润范围和周围导管的病变，在术中充分清除病灶，安全、痛苦少、技术操作较容易，值得推广。
目的：探討運用超聲引導下麥默通鏇切術（Mammotome Biopsy System）在乳腺感染性疾病中的治療療效，為臨床乳腺疾病治療提供參攷依據。方法選取2011年1月－2014年1月收治的確診乳腺感染性疾病患者284例，隨機分為對照組和試驗組，各142例，其中對照組採用傳統的外科開放手術、試驗組採用超聲引導下麥默通鏇切術治療，比較兩組患者臨床指標，採用SPSS17．0軟件進行統計分析。結果試驗組平均手術切口大小、手術時間、術中齣血量、術後恢複時間分彆為（4．8±2．8）mm、（17．4±2．1）min、（5．2±0．9）ml、（4．1±0．2）d，明顯低于對照組各項的指標，經統計分析，差異有統計學意義（P＜0．05）；兩組併髮癥髮生率差異無統計學意義。結論超聲引導下麥默通微創鏇切可以直觀地顯示病變的位置、大小、形態、浸潤範圍和週圍導管的病變，在術中充分清除病竈，安全、痛苦少、技術操作較容易，值得推廣。
목적：탐토운용초성인도하맥묵통선절술（Mammotome Biopsy System）재유선감염성질병중적치료료효，위림상유선질병치료제공삼고의거。방법선취2011년1월－2014년1월수치적학진유선감염성질병환자284례，수궤분위대조조화시험조，각142례，기중대조조채용전통적외과개방수술、시험조채용초성인도하맥묵통선절술치료，비교량조환자림상지표，채용SPSS17．0연건진행통계분석。결과시험조평균수술절구대소、수술시간、술중출혈량、술후회복시간분별위（4．8±2．8）mm、（17．4±2．1）min、（5．2±0．9）ml、（4．1±0．2）d，명현저우대조조각항적지표，경통계분석，차이유통계학의의（P＜0．05）；량조병발증발생솔차이무통계학의의。결론초성인도하맥묵통미창선절가이직관지현시병변적위치、대소、형태、침윤범위화주위도관적병변，재술중충분청제병조，안전、통고소、기술조작교용역，치득추엄。
OBJECTIVE To explore the effect of ultrasound‐guided Manmmotome biopsy system in treatment of in‐fectious breast diseases and to provide basis for clinical treatment of breast diseases .METHODS Totally 284 cases of infectious breast diseases ,who were in our hospital from Jan .2011 to Jan .2014 ,were randomly divided into two groups with 142 cases in each group .The experiment group was treated with ultrasound‐guided Manmmotome and the control group was treated with traditional open surgery .The clinical indexes were compared between the two groups .The software SPSS17 .0 was used for statistical analysis .RESULTS The average length of the inci‐sions ,operation time ,amount of bleeding ,postoperative wound healing time was (4 .8 ± 2 .8)mm ,(17 .4 ± 2 .1) min ,(5 .2 ± 0 .9)ml ,(4 .1 ± 0 .2)d respectively in the experiment group ,shorter than those in the control group , and the difference was statistically significant according to analysis (P<0 .05) .CONCLUSION Ultrasound‐guided Manmmotome in treatment of infectious breast diseases can visually display the location of the lesions ,sizes , shapes ,infiltration scope and around‐catheter lesions and fully remove lesions in the operation with safety ,less pain ,and easier technical operation ,which is worthy of widely popularizing .
