中国癌症防治杂志
中國癌癥防治雜誌
중국암증방치잡지
CHINESE JOURNAL OF ONCOLOGY PREVENTION AND TREATMENT
2015年
4期
269-272
,共4页
触诊阴性乳腺结节%麦默通微创旋切术%小切口传统手术%疗效
觸診陰性乳腺結節%麥默通微創鏇切術%小切口傳統手術%療效
촉진음성유선결절%맥묵통미창선절술%소절구전통수술%료효
Nonpalpable breast nodules%Mini-invasive surgery with Mammotome system%Conventional surgery with minimal-incision%Efficacy
目的：对比分析麦默通微创旋切术与小切口传统手术治疗触诊阴性乳腺结节的疗效。方法128例触诊阴性乳腺结节患者中行麦默通微创旋切术治疗（观察组）58例，小切口传统手术治疗（对照组）70例，比较两组手术切口长度、手术时间、术后乳房塌陷、术后感染、术后血肿和术后3个月乳腺结节复发情况。结果两组均顺利完成手术。观察组58例患者中切除乳腺结节病灶87处；对照组70例患者中切除乳腺结节病灶119处。观察组手术切口长度及手术时间均优于对照组，两组比较差异有统计学意义（P<0.05），但两组患者术后乳房塌陷、感染、血肿以及术后3个月乳腺结节复发情况比较，差异均无统计学意义（P均>0.05）。结论麦默通微创旋切术较小切口传统手术治疗触诊阴性乳腺结节的优势为手术切口小，缩短手术时间，但两种术式在术后感染、血肿、乳房塌陷及乳腺结节复发等方面差别不大，需综合考虑患者及医疗设施等因素选择术式。
目的：對比分析麥默通微創鏇切術與小切口傳統手術治療觸診陰性乳腺結節的療效。方法128例觸診陰性乳腺結節患者中行麥默通微創鏇切術治療（觀察組）58例，小切口傳統手術治療（對照組）70例，比較兩組手術切口長度、手術時間、術後乳房塌陷、術後感染、術後血腫和術後3箇月乳腺結節複髮情況。結果兩組均順利完成手術。觀察組58例患者中切除乳腺結節病竈87處；對照組70例患者中切除乳腺結節病竈119處。觀察組手術切口長度及手術時間均優于對照組，兩組比較差異有統計學意義（P<0.05），但兩組患者術後乳房塌陷、感染、血腫以及術後3箇月乳腺結節複髮情況比較，差異均無統計學意義（P均>0.05）。結論麥默通微創鏇切術較小切口傳統手術治療觸診陰性乳腺結節的優勢為手術切口小，縮短手術時間，但兩種術式在術後感染、血腫、乳房塌陷及乳腺結節複髮等方麵差彆不大，需綜閤攷慮患者及醫療設施等因素選擇術式。
목적：대비분석맥묵통미창선절술여소절구전통수술치료촉진음성유선결절적료효。방법128례촉진음성유선결절환자중행맥묵통미창선절술치료（관찰조）58례，소절구전통수술치료（대조조）70례，비교량조수술절구장도、수술시간、술후유방탑함、술후감염、술후혈종화술후3개월유선결절복발정황。결과량조균순리완성수술。관찰조58례환자중절제유선결절병조87처；대조조70례환자중절제유선결절병조119처。관찰조수술절구장도급수술시간균우우대조조，량조비교차이유통계학의의（P<0.05），단량조환자술후유방탑함、감염、혈종이급술후3개월유선결절복발정황비교，차이균무통계학의의（P균>0.05）。결론맥묵통미창선절술교소절구전통수술치료촉진음성유선결절적우세위수술절구소，축단수술시간，단량충술식재술후감염、혈종、유방탑함급유선결절복발등방면차별불대，수종합고필환자급의료설시등인소선택술식。
Objective To compare the efficacy of mini-invasive surgery using the Mammotome system and minimal-incision conventional surgery for treating nonpalpable breast nodules. Methods Medical records of 58 patients with nonpalpable breast nodules treated by mini-invasive surgery using the Mammotome system and 70 patients treated by minimal-incision conventional surgery were retrospectively analyzed. The two groups of patients were compared in terms of surgical incision size,surgery time, breast contour after surgery,surgical infection,subcutaneous hematoma and breast nodule recurrence during 3-month follow-up. Results A total of 87 nonpalpable breast nodules were removed from 58 patients using Mammotome minimally invasive surgery, and 119 nonpalpable breast nodules were removed from 70 patients using minimal-incision conventional resection. The Mammotome procedure was associated with significantly smaller surgical incision size and shorter surgery time(P<0.05). The two procedures were associated with similar breast contours after surgery and similar rates of surgical infection,subcutaneous hematoma and breast nodule recurrence(P>0.05). Conclusion Mammotome minimally invasive surgery may allow smaller surgical incision size and shorter surgery time than minimal-incision conventional surgery during treatment of nonpalpable breast nodules.
