摘要
目的比较麦默通旋切系统与传统手术方法治疗乳腺良性肿块的疗效。方法回顾性分析手术治疗的乳腺良性肿块患者138例资料。其中,应用麦默通旋切73例(107枚,A组),传统手术65例(98枚,B组)。结果 A组中位手术时间23min,短于B组的35min。A组术后病理诊断乳腺纤维腺瘤86枚(80.37%),明显高于B组的69枚(70.41%)(P<0.05);A组术后病理诊断乳腺腺病伴瘤化16枚(14.95%),明显低于B组的22枚(22.45%)(P<0.05)。A组术后出现穿刺点出血或皮下瘀斑5例。B组术后出现皮下积液22例,肿块残留7例。结论麦默通旋切系统在肿块切除率、术后并发症等方面均优于传统手术。
Objective To compare the outcomes of benign breast mass removal with high frequency ultrasound-guided Mammotome and conventional resection. Methods Data of 138 women with benign breast mass were retrospectively analyzed, who were operated by ultrasound-guided vacuum-assisted biopsy in 73 cases(group A, 107 masses) or by conventional resection in 65 cases (group B, 98 masses). Results The mean operative time was shorter in group A than that in group B (23 rain vs. 35 rain). The pathological diagnosis rate for breast fibrioma was higher in group A than that in group B(80.37% vs. 70. 41%)(P〈0. 05) ,but that for breast tumoral adenosis was lower in group A than that in group B(14.95% vs. 22. 45%)(P〈0. 05). Bleeding or ecchymosis at puncture point occurred in five cases in group A. The subcutaneous fluid retention occurred in 22 cases and mass residual happened in 7 cases in group B. Conclusion The high frequency ultrasound-guided Mammotome is better than conventional resection for benign breast mass removal in terms of eradication rate and postoperative complications.
出处
《江苏医药》
CAS
北大核心
2013年第9期1081-1083,共3页
Jiangsu Medical Journal
关键词
乳腺良性肿块
麦默通旋切系统
Benign breast mass
High frequency ultrasound-guided Mammotome