乳腔镜微小隐蔽切口切除乳腺良性肿块的临床观察

Mastoscopic extirpation of benign breast masses by small and concealing incision

目的 探讨乳腔镜微小隐蔽切口切除乳腺良性肿瘤的可行性及临床疗效。方法 使用乳腔镜经乳晕入路或腋下入路 ,通过微小切口 ,在局麻或静脉镇痛麻醉下 ,对 6 4例患者乳腺的各象限肿块进行 72次切除。结果 6 4例患者住院 2 8例 ,其余大部分患者均在门诊预约手术完成。手术时间平均 4 6 .1min ,全组患者术后的乳头感觉和勃起无异常。除 2例出现并发症外 ,其余 6 2例患者 (70次手术 )术后对此项手术的美容效果都表示相当满意。结论 乳腔镜在局麻下即可完成乳腺良性肿块的切除 ,切口微小隐蔽 ,避免了乳腺皮肤上的直接切口 ,疤痕不明显 ,患者生活质量提高。满足了广大女性乳腺疾病患者对乳腺疾病治疗的愿望。

Objective To investigate the feasibility and effect of mastoscopic extirpation of benign breast masses by small and concealing incision. Methods 72 benign breast masses of 64 patients were mastoscopically extirpated. Transaxillary and transareolar small incisions were selected under local and vein analgesia anaesthesia. Results Most of patients were operated upon in clinic, only 28 patients in hospital. The average operation time was 46.1 minutes. The sensation and erection of breast nipples remained normal in all patients. 2 patients with obvious complications(one with skin burned by electric scalpel,another with wide subcutaneous ecchymosis) complained this kind of operation, other patients were greatly satisfied with the cosmetic outcome of the operation. Conclusion The mastoscopic extirpation of benign breast masses by small and concealing incision can be completed in most of the patients under local anesthesia. The incision is small and concealing, which raises the quality of life of the patients. This operation procedure meets the needs of the mass of women for treatment of breast disease and also alters the routine conception of excision of benign breast mass.