摘要
目的 探讨麦默通（mammotome,MMT）在乳腺疾病应用的适应证、手术方法、操作技巧及并发症的预防.方法 四川省攀枝花市中心医院2009年8月至2013年8月4年间据病灶的位置选择不同切口及针道入路,采用“十字交叉法”顺利完成乳腺MMT微创活检手术1356例,共3676个病灶,总结分析其适应证、手术操作及并发症预防的经验和教训.结果 左乳病灶775个,右乳病灶639个,单发病灶652例,多发病灶865例,共3024个病灶.病理结果：囊性肿块320枚,占8.71％（320/3676）为腺病伴导管扩张或伴大汗腺化生;囊实性肿块36枚,占0.98％ （36/3676）为导管内乳头状瘤;实性肿块3310枚,占90.04％,其中乳腺癌13例,占0.39％（13/3310）,纤维腺瘤2246例,占67.85％（2246/3310）;腺病1051例,占31.75％（1051/3310）;钙化灶10处为腺病.13例乳腺癌均改行改良根治术.术后皮肤青紫、瘀斑184例,占5％,血肿36例,占0.98％.无一例病灶残留.结论 通过对MMT微创手术适应证的严格限定,采用“十字交叉法”手术操作,把握好切口和针道入路的选择,MMT微创手术可以达到安全、美观、微创、完全切除的理想效果.
Objective To explore the indication,operative methods,operation skill and prevention of complications of mammotome（MMT） in breast diseases.Methods From Aug.2009 to Aug.2013,3676 breast lesions in 1356 patients received MMT micro-invasive operation by decussation process with different incision and needle tracks according to the location of lesions.Experience of the indication,operation technique and prevention of complications were summed up.Results 775 lesions were in left breast and 639 in right breast.652 patients had single lesion and 865 patients had multiple lesions.The pathology results：320 cysts （8.71％,320/3676） were adenosis of breast with mammary duct ectasia or with metaplasia apocrine.36 solid and cystic tumors （0.98％,36/3676）were intraductal papillomas.3310 solid tumors （90.04％）included 13 breast cancers （0.39％,13/3310）,2246 fibroadenomas（67.85％,2246/3310） and 1051 adenosis（31.75％,1051/3310）.10nodules of calcification were adenosis of breast.13 patients with breast cancer received modified radical mastectomy.The postoperative results：skin bruises in 184 cases（5％）,hematoma in 36 cases（0.98％）.No postoperative residual was found.Conclusion According to the strict application of MMT minimally invasive surgery and by decussation process based on the appropriate incision and needle track,MMT minimally invasive surgery can achieve safe,minimally invasive,good-looking and completely removal effect.
出处
《中华内分泌外科杂志》
CAS
2014年第5期409-412,共4页
Chinese Journal of Endocrine Surgery
