[1]杨迎旭** 田思齐 钱跃军 吕晶 董汉华.麦默通微创旋切术附加小切口与传统手术切除乳房巨大良性肿瘤的比较[J].中国微创外科杂志,2019,01(9):803-807.
　Yang Yingxu*,Tian Siqi*,Qian Yuejun,et al.Comparison of Mammotome Minimally Invasive Surgical Technique Plus Small Incision With Traditional Surgery for Giant Benign Tumor of Breast[J].Chinese Journal of Minimally Invasive Surgery,2019,01(9):803-807.
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麦默通微创旋切术附加小切口与传统手术切除乳房巨大良性肿瘤的比较()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2019年9期
页码:
803-807
栏目:
临床研究
出版日期:
2019-09-25

文章信息/Info

Title:
Comparison of Mammotome Minimally Invasive Surgical Technique Plus Small Incision With Traditional Surgery for Giant Benign Tumor of Breast
作者:
杨迎旭** 田思齐 钱跃军 吕晶 董汉华
（郑州大学附属郑州中心医院乳腺甲状腺外科，郑州450007）
Author(s):
Yang Yingxu*;  Tian Siqi*;  Qian Yuejun;  et al.
*Department of Breast and Thyroid Surgery, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou 450007, China
关键词:
纤维腺瘤; 麦默通
Keywords:
Fibroadenoma; Mammotome
文献标志码:
A
摘要:
目的探讨麦默通微创旋切术附加小切口切除乳房巨大良性肿瘤的可行性与安全性。方法回顾性分析2015年1月～2018年1月我院64例乳房巨大良性肿瘤的临床资料，按照病例入院时间分为2组：麦默通组34例，传统手术组30例，比较2组手术切口长度、手术时间、术后并发症、术后切口瘢痕及术后乳房形态满意率等。结果麦默通组切口长度(1.34±0.15)cm，明显短于传统手术组(4.22±0.52)cm（t=-29.261，P=0000）；手术时间(23.2±2.7) min，稍短于传统手术组(25.9±2.1)min（t=-4.439，P=0.007）。2组术后皮肤瘀斑发生率分别为23.5%（8/34）、20.0%（6/30）),无统计学差异（χ2 =0.116，P=0.733）；术后血肿发生率分别为14.7%(5/34)、13.3%(4/30),无统计学差异（χ2 =0.000, P=1.000）；术腔积液发生率分别为8.8%(3/34) 、13.3%(4/30),无统计学差异（χ2=0031，P=0.861）。2组患者中位随访9个月（6~12个月），麦默通组未见肿瘤残留，2组患者瘢痕明显率差异有统计学意义［8.8%(3/34) vs.80.0%（24/30）, χ2 =33.105,P=0.000］；乳房形态满意率差异有统计学意义［94.1%(32/34) vs．66.7%(20/30), χ2 =7883,P=0.005］。结论麦默通微创旋切术附加小切口切除乳房巨大良性肿瘤微创、可行，值得临床推广应用。
Abstract:
ObjectiveTo explore the feasibility and safety of Mammotome minimally invasive surgical technique plus small incision in the treatment of giant benign tumor of breast.MethodsClinical data of 64 patients with giant benign tumor of breast operated in our hospital from January 2015 to January 2018 were retrospectively analyzed. The patients were divided into either observation group with Mammotome minimally invasive technique plus small incision (n=34) or the control group with traditional surgery (n=30). The differences of the two group were compared in incision length, operation time,postoperative complications, scar and breast morphology satisfaction rate. ResultsAs compared to the control group, the observation group had significant shorter incision length ［(1.34±0.15) cm vs. (4.22±0.52) cm, t=-29.261, P=0.000］, and shorter operation time ［(23.2±2.7) min vs. (25.9±2.1) min, t=-4.439, P=0.000］. There were no significant differences between the observation group and the control group in skin ecchymosis ［23.5% (8/34) vs. 20.0% (6/30), χ２=0.116, P=0733］, postoperative hematoma ［14.7% (5/34) vs. 13.3% (4/30), χ2=0.000, P=1.000］, and postoperative cavity effusion ［8.8% (3/34) vs. 13.3% (4/30), χ2=0.031, P=0.861］. All the patients were followed up.Residual tumor was not found in the observation group. The scar rate of the observation group was significant lower than that of the control group ［8.8% (3/34) vs. 800% (24/30), χ2=33.105, P=0000］. The breast morphology satisfaction rate of the observation group was significant better than that of the control group ［94.1% (32/34) vs. 66.7% (20/30), χ2=7.883, P=0.005］.ConclusionIt is feasible and effective that using Mammotome minimally invasive surgical technique plus small incision to cut off the giant benign tumor of breast.

参考文献/References:

[1]林菊丽,朱瞻琳,毛贺辉,等.麦默通微创术治疗较大乳腺肿物的效果及并发症分析.中国妇幼保健,2018,33(9):2143-2146.
[2]高学忠,王西悦,张蓉,等.麦默通扇形推进法旋切较大良性乳腺肿块的可行性研究.中华乳腺病杂志电子版,2011,5(1):35-40.
[3]李亚玲,朱铖.ECMR四步法降低麦默通乳腺良性肿瘤切除的残留率.中华普通外科杂志,2017,32(6):526-527.
[4]王从峰,乔群,孙强,等.乳腺癌保留乳房术后影响乳房形态的多因素分析.中华医学美学美容杂志,2006,12(5):277-280.
[5]Matz D,Kerivan L,Reintgen M,et al. Breast preservation in women with giant juvenile fibroadenoma. Clin Breast Cancer,2013,13(3):219-222.
[6]徐旺,刘长山,袁妍,等.经乳晕切口行乳腺手术治疗的效果研究.当代医学,2018,24(8):151-153.
[7]Pan S, Liu W, Jin K,et al. Ultrasoundguided vacuumassisted breast biopsy using Mammotome biopsy system for detection of breast cancer: results from two high volume hospitals. Int J Clin Exp Med,2014,7(1):239-246.
[8]Li S,Wu J,ChenK,et al. Clinical out comes of 1,578 Chinese patients with breast benign diseases after ultrasoundguided vacuumassisted excision: recurrence and the risk factors. Am J Surg,2013,205(1):39-44.
[9]Khater A, Mazy A, Gad M, et al. Tumescent mastectomy: the current indications and operative tips and tricks. Breast Cancer (Dove Med Press),2017,9:237-243.
[10]崔智淼,骆成玉,李鑫,等.超声引导下真空辅助微创旋切系统治疗导管内乳头状瘤的临床研究.中国微创外科杂志,2016,16(11):969-972.
[11]陈广社,李峰,刘旭晨.乳腺肿物麦默通旋切与常规切除术的对比研究.中国微创外科杂志,2016,16(7):635-637.
[12]高忠诚,戚光.乳腺麦默通手术围术期出血情况分析.山东医学高等专科学校学报,2010,32(5):357-359.
[13]屈新才,张勇,张波,等.乳腺良性肿块的手术治疗及整形处理.中华普通外科杂志,2007,22(6):473-474.

备注/Memo

备注/Memo:
基金项目：河南省卫生厅医学科技攻关计划项目(201403266)**通讯作者，Email：584821879@qq.com ①(郑州大学第三附属医院病理科，郑州450052)
更新日期/Last Update: 2019-12-10