CAJ | 학술논문

目的探讨麦默通微创旋切手术治疗乳腺肿物的临床应用价值及经验.方法回顾性分析2009年10月至2013年10月广东医学院附属医院乳腺外科2 496例行乳腺肿物微创旋切术的乳腺肿物患者的临床资料.结果微创手术切口平均长度为(0.4±0.1) cm、手术平均时间为(15±5) min、手术平均出血量为(7.6±3.3) ml.微创手术后有42例出现血肿,35例出现皮下瘀斑,无切口感染开裂,8例出现乳腺塌陷变形,15例发生瘢痕形成.术后平均恢复时间为(4.5±1.2) d.肿块切除后常规病理结果显示,良性病变占比绝大部分,占比为98.84%,其中尤以纤维腺瘤居多,占53.82%.共发现恶性病变60例,其中导管原位癌28例,小叶原位癌与浸润性导管癌各16例.结论麦默通微创旋切手术安全系数高,创伤小,手术时间短,术中出血量少,且能准确切除肿块,术后疤痕较小,不影响乳房的美观,预后佳,目前已成为乳腺微创外科不可或缺的重要工具,但其应用仍有一定的局限性.
목적 탐토맥묵통미창선절수술치료유선종물적림상응용개치급경험.방법 회고성분석2009년10월지2013년10월엄동의학원부속의원유선외과2 496례행유선종물미창선절술적유선종물환자적림상자료.결과 미창수술절구평균장도위(0.4±0.1) cm、수술평균시간위(15±5) min、수술평균출혈량위(7.6±3.3) ml.미창수술후유42례출현혈종,35례출현피하어반,무절구감염개렬,8례출현유선탑함변형,15례발생반흔형성.술후평균회복시간위(4.5±1.2) d.종괴절제후상규병리결과현시,량성병변점비절대부분,점비위98.84%,기중우이섬유선류거다,점53.82%.공발현악성병변60례,기중도관원위암28례,소협원위암여침윤성도관암각16례.결론 맥묵통미창선절수술안전계수고,창상소,수술시간단,술중출혈량소,차능준학절제종괴,술후파흔교소,불영향유방적미관,예후가,목전이성위유선미창외과불가혹결적중요공구,단기응용잉유일정적국한성.
Objective To explore the clinical value and experience of minimally invasive Mammotome biopsy system in the diagnosis and treatment of breast tumor. Methods The clinical data of 2 496 patients with breast disease underwent Mammotome biopsy from October 2009 to October 2014 were retrospectively reviewed. Results The aver-age length of the incision was (0.4 ± 0.1) cm, and the mean operative time was (15 ± 5) min, with mean blood loss of (7.6 ± 3.3) ml. After surgery, there were 42 cases of hematoma, 35 cases of subcutaneous bruising, no case of cracking wound infection, 8 cases of breast collapse deformation, 15 cases of scarring. The mean recovery time was (4.5 ± 1.2) days. The pathological results after operation showed that most tumors were benign lesions (accounting for 98.84%), especially the fibroadenoma (accounting for 53.82%). There were 60 cases of malignant lesions, including 28 cases of ductal carcinoma in situ, 16 cases of lobular carcinoma in situ and 16 cases of invasive ductal carcinoma. Conclusion Minimally invasive Mammotome biopsy has the advantages of good safety, shorter operating time, less blood loss, which can removal the tumor accurately, with smaller postoperative scar and better prognosis. It has become an indispensable tool for minimally invasive surgery in breast tumors, but its application still has some limitations.