摘要
目的分析乳腺麦默通微创手术在乳腺病灶切除中出现术中、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816例乳腺麦默通微创手术术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2 898个,出现术中出血36例,术后形成血肿42例,3例转开放手术处理。结论乳腺麦默通微创手术在切除较大,多发,外上病灶时,不能保证有效压迫时出血情况明显增加,增加手术成功难度,但通过改良术中、术后止血的方法可获得满意的治疗效果。
Objective To study the methods of reducing hemorrhage incidence through analyzing Mammotome operation for breast lesions.Methods Retrospectively analyzed Hemorrhage cases in ultrasound guided 816 Mammotome operation cases.Results Altogether 2 898 breast lesions were resected with 36 hemorrhage cases during operation,42 cases later,and 3 cases resorting to open surgery.Conclusion Incidence of hemorrhage in/after operation is higher in larger size,multiple and external-upper quadrant lesions,especially when encountered with pressure,which add to the difficulty of successful operations.However,hematoma can be effectively avoided by improving hemostasia during and after operation.
出处
《山东医学高等专科学校学报》
2010年第5期357-359,共3页
Journal of Shandong Medical College
关键词
麦默通
微创手术
乳腺肿块
出血
Mammotome
Minimally invasive surgery
Breast lesions
Hemorrhage
