摘要
目的分析超声引导麦默通(Mammotome)乳腺肿物切除术并发出血的原因,总结其防治对策,进一步降低该并发症的发生率。方法在超声引导下对289例女性患者共796个乳腺肿物行麦默通Mammotome切除术。详细记录每一位患者肿物的数目、大小、部位、穿刺针道数、术中术后出血发生的情况、处理方法、并分析出血原因总结防治对策。结果超声引导麦默通(Mammotome)切除乳腺肿物796个,术中出血7例,术后出血2例。通过及时处理,所有患者全部恢复顺利。结论麦默通乳腺肿物切除术在切除外上象限和乳晕区肿物、肿物较大及多发多个手术针道时出血率明显增加,通过筛选接受Mammotome切除术的肿块大小及数量、术中精细化操作,术后加压包扎、避免患侧上肢剧烈运动及乳房碰撞,合理运用止血药物及止血材料可降低麦默通微创手术的出血率。
Objective Analysis of ultrasound-guided Mammotome breast neoplasm resection(Mammotome)the causes of bleeding,summarize the prevention and control countermeasures,further reduce the incidence of the complications.Methods In under the guidance of ultrasound for257women with a total of498patients with breast neoplasm line Mammotome Mammotome resection.Detailed records every patient the mass,size,the number of parts and needle number,intraoperative hemorrhage happened after operation,processing methods,and the cause of hemorrhage prevention and cure countermeasures.Results Ultrasound-guided Mammotome(Mammotome)excision of breast neoplasm,498,51cases intraoperative bleeding,formation of postoperative hematoma46cases,32cases of skin ecchymosis.Through the timely treatment,all patients were fully recovered smoothly.Conclusion Mammotome breast neoplasm resection on the removal of outer quadrant and areola area larger mass,the mass and multiple hemorrhage rate increased significantly when multiple surgical needles way,by sifting through accept Mammotome resection of tumor size and quantity,intraoperative fine operation,postoperative compression bandage,to avoid collision with lateral upper limbs vigorous exercise and breast,reasonable use of hemostatic drugs and hemostatic materials can reduce the bleeding rate of Mammotome minimally invasive surgery.
作者
程少先
徐文礼
艾瑞华
朱斌
Cheng Shao-xian;XuWen-li;Ai Rui-hua;Zhu Bin(Department of general surgery of Jingshan People's Hospital of Hubei province 2, Jingmen, Hubei, 431800, China)
出处
《当代医学》
2017年第24期73-76,共4页
Contemporary Medicine
关键词
麦默通
超声引导
乳腺
肿块
出血原因
防治
Mammotome
Ultrasonic guidance
Breast
Tumor
Cause of bleeding
Prevention
