乳腺良性肿块切除方式的选择

Surgery selection of breast benign tumor excision

目的比较传统切除术和B超引导下Mammotome微创旋切术在切除乳房良性肿块的差别,为患者提供比较合理的手术方式。方法将我院2006年6月至2007年6月收治的231例乳房良性肿块患者,分为传统手术切除组(133例)和B超引导下Mammotome微创旋切术组(98例),比较两组的年龄、肿块大小、术中出血量、切口长度、一次切除肿块个数、手术时间、花费、术后并发症。结果和传统手术组相比,Mammotome微创旋切手术切口短、出血少,一次切除肿块多,术后并发症少,手术时间短但花费多。结论对于乳房内肿块直径<3cm、多发性肿块的年轻患者建议选择Mammotome微创旋切手术,传统手术适用于年龄较大、肿块直径≥3cm或经济条件较差的患者。

Objective To compare the difference in the excision breast benign tumor between traditional excision method and ultrasound guided Mammotome minimally invasive biopsy technique, provide reason, able excision way for patients. Methods From June.2006 to June.2007, 31 cases who suffered from benign tumor of breast were divided into traditional group （133 Cases）and ultrasound guided Mammotome minimally inva- sive biopsy group（98 cases）, compared their differences such as age, mass size, bleeding volume, incision length, the mass number removed by one operation, period time of operation, cost of treatment and postoperative complications.Results Ultrasound guided Mammotome minimally invasive biopsy had the following advantages： the incision were shorter, less bleeding, more mass quantity removed, period of operation and postoperative complications were less, but the expense of treatment were higher. Conclusion The young female, breast tumor diam- eter〈3 cm with more mass are suggested to choose ultrasound guided Mammotome minimally invasive biopsy technique,traditional excision operation is applied to elder,tumor diameter〉3 cm as well as disadvantaged patients.