摘要
目的：分析乳腺微创手术在乳腺病灶切除及可疑病灶活检中出现术中，术后出血的情况，总结出有效降低出血率的方法。方法：回顾分析766例乳腺微创手术切割过程中出现的出血情况及穿刺过程中出现的出血情况及术后血肿形成等方面情况。结果；共完成在B超监视下的乳腺病灶切除2757个，出现术中出血63例，其中切除病灶大小在2．5—3．5cm之间的出血率达54．9％，术后形成血肿89例，改用垫圈压迫手术部位并弹性绷带包扎48h未出现术后血肿。全部病例治愈出院。结论：乳腺麦默通微创手术在切除较大病灶时出血情况明显增加，增加手术难度，但通过改良术后压迫止血的方法可获得满意治疗效果。
Objective： To discuss methods of reducing hemorrhage incidence through analysis of 766 Mammotome operation cases. Methods： Retrospective analysis of 766 Mammotome operation cases were conducted. Results： 2 757 lesions were resected. 63 hemorrhage cases were found. Hemorrhage rate of neoplasms whose diameters were 2. 5～3. 5 cm was 54. 9%. There were 89 hematoma cases in all patients. There was no hematoma case in patients which received pressure enswathement for 48 hours. Conclusion： Incidence of hemorrhage in/after operation is higher in neoplasms with larger size （ 〉 2.5 cm）. Hematoma can be avoided by improved post-operation pressure enswathement.
出处
《中国妇幼保健》
CAS
北大核心
2008年第21期3030-3032,共3页
Maternal and Child Health Care of China
关键词
麦默通
术中
术后
出血
Breast neoplasms/diagnosis
Breast neoplasms/surgery
Biopsy/methods
