[1]向国安,陈开运,王汉宁,等.乳腔镜治疗乳腺良性肿瘤68例[J].中国微创外科杂志,2006,06(4):275-276.
　Xiang Guoan,Chen Kaiyun,Wang Hanning,et al.Mastoscopic treatment of benign mammary gland tumors: Report of 68 cases[J].Chinese Journal of Minimally Invasive Surgery,2006,06(4):275-276.
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乳腔镜治疗乳腺良性肿瘤68例()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
06
期数:
2006年4期
页码:
275-276
栏目:
出版日期:
2006-04-20

文章信息/Info

Title:
Mastoscopic treatment of benign mammary gland tumors: Report of 68 cases
作者:
向国安; 陈开运; 王汉宁; 高鹏; 郑权; 肖方联; 肖金丰; 谭敏①
广东省第二人民医院微创中心,吴阶平医学基金会-诺道夫微创外科培训中心,广州,510317
Author(s):
Xiang Guoan;  Chen Kaiyun;  Wang Hanning;  et al.
Department of General Surgery, Second People’s Hospital of Guangdong Province, Guangzhou 510317, China
关键词:
乳腔镜技术; 乳腺; 良性肿瘤
Keywords:
Mastoscopic technique; 　Mammary gland; 　Benign tumor
分类号:
R737.9
文献标志码:
A
摘要:
目的探讨乳腔镜切除乳腺良性肿瘤的可行性.方法经临床钼靶筛选良性乳腺肿瘤68例,其中乳腺纤维瘤42例、乳腺囊性腺瘤26例;肿瘤位于外下象限26例、内上象限16例、内下象限14例、外上象限12例.采用腋窝入路,应用特制皮瓣剥离器建立皮下隧道,在分离的腔隙内充气,电刀、超声刀等对乳腺肿瘤进行切除,常规术中冰冻切片.结果68例手术均获成功.术中未出现并发症.手术时间28～45 min,平均35 min.放置引流管1～2 d,1例出现皮下积液,未发生皮肤坏死等并发症.术后住院2～5 d,(3.0±1.5)d.68例随访3～36个月,平均12个月,乳房上未留任何瘢痕.结论乳腺良性肿瘤采用经腋窝乳腔镜切除安全、可行,具有美容、整形的手术效果.
Abstract:
Objective　　To explore the feasibility ofmastoscopic resection ofbenignmammary gland tumors.　M ethods　 A total of68 caseswere diagnosed as having benignmammary gland tumors (42 cases of fibroma and 26 cases of cystic adenoma) by usingmolybdenum targetX-ray examinations. The tumorwas located at lower outer quadrant in 26 cases, upper inner quadrant in 16 cases, lower inner quadrant in 14 cases, and upper outer quadrant in 12 cases, respectively. The operation was conducted via a transaxillary approach. A specially-designed flap dissectorwas utilized to establish a tunnel underneath the breast skin, where the air was inflated to build a surgical space. Then the tumor was resected by using an electrotome or harmonic scalpe.l Frozen-section examination was routinely carried out during operation.　Results　The operation was successfully completed in all the 68 cases, without intraoperative complications. The operation timewas 28~45 min (mean, 35 min). The drainage tubewas indwelled for1~2 d. Subcutaneous effusion occurred in 1 case. Postoperative recoverywas uneventfulwithout skin necrosis or other complications. The length of postoperative hospital staywas 2~5 d (3. 0±1. 5 d). Follow-up checkups in the 68 cases for 3~36 months (mean, 12 months) revealed good cosmetic outcomes.　Conclusions　Transaxillarymastoscopic resection of benign mammary gland tumors is safe and feasible, with good cosmetic results.

参考文献/References:

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备注/Memo

备注/Memo:
①（中山大学附属第一医院微创中心,广州,510000）
更新日期/Last Update: 2014-01-27