外科理论与实践2016，Vol.21Issue(3)：248-251,4.DOI:10.16139/j.1007-9610.2016.03.014
微创旋切术治疗乳腺多发良性肿块--单切口部位的选择
Selection of single incision position for Mammotome technology in treatment of multiple benign mammary lumps
傅少梅 1殷初阳 1金玉春 1王富文 1宋晖1
作者信息
- 1. 复旦大学附属妇产科医院乳腺外科，上海 200011
- 折叠
摘要
Abstract
Objective To explore the single incision position of Mammotome technology in the treatment of multiple benign mammary lumps. Methods There were 420 patients who underwent vacuum-assisted breast biopsy (Mammotome technology) and were divided into anterior axillary inframammary fold incision (AAIFI) group and periareolar incision (PAI) group. The number of lumps, operation time, blood loss and postoperative hematoma were analyzed. Results There were (6.5±2.5) lumps with operation time (3.5±1.2) min and bleeding (5.6±1.6) mL in AAIFI group. The lumps were (4.8±1.6) with operation time (5.4 ±1.5) min and bleeding (10.3 ±2.6) mL in PAI group. The difference between two groups was significant statistically(P<0.05). The operation time for upper mammary lumps was not different significantly between two groups (P=0.416). The blood loss was significantly less in AAIFI group than in PAI group (P=0.013). Both operation time and blood loss were less for lower mammary lumps in AAIFI group than in PAI group (P<0.001). Incision infection was not present. There were less hematomas in AAIFI group than in PAI group (7.1%, 25/352 vs 16.5%, 37/224, P<0.001). Conclusions Minimally invasive Mammotome technology is better treatment of multiple benign mammary lumps. AAIFI is the choice for more lumps and for lower mammary lumps. Both incisions can be selected for upper mammary lumps.关键词
乳腺多发良性肿块/微创旋切/单切口Key words
Multiple benign mammary lumps/Mammotome technology/Single incision分类
医药卫生引用本文复制引用
傅少梅,殷初阳,金玉春,王富文,宋晖..微创旋切术治疗乳腺多发良性肿块--单切口部位的选择[J].外科理论与实践,2016,21(3):248-251,4.
