麦默通乳腺微创旋切术治疗乳腺良性病灶的临床观察

Clinical observation of Mammotome breast minimally invasive treatment of benign breast lesions

目的:探讨麦默通(MMT)乳腺微创旋切术在治疗乳腺良性病灶中的优势。方法:回顾性分析本院2008年2月～2010年10月收治的74例患者103处乳腺良性病灶采用MMT乳腺微创旋切术治疗,并对手术情况、术后并发症、美容效果和心理满意度等进行调查研究。结果:本组74例患者均获成功。术中出血量为30～100ml。平均手术时间(34.2±19.7)min,无一例发生伤口出血和感染,心理满意度达到了100%。随访6～12个月,1例出现乳腺纤维瘤复发。结论:高频超声引导MMT乳腺微创旋切术治疗乳腺良性病灶可以缩短手术时间,获得较好美容效果和心理满意度,并发症少,尤其适用于治疗直径3cm的乳腺良性病灶,值得临床推广应用。

Objective： To investigate the Mammotome （MMT） in the treatment of breast minimally invasive surgery in be-nign breast lesions advantage. Methods： A retrospective analyzed of our hospital in February 2008 to October 2010, 74 patients admitted to 103 MMT of benign breast lesions using minimally invasive surgical treatment of breast, and surgery, postoperative complications, cosmetic results and psychological satisfaction survey research. Results： 74 patients were successful, the blood loss was 30-100 ml. The mean operative time was （34.2±19.7） min, no case of bleeding and wound infection, psychological satisfaction of 100%. Follow-up of 6-12 months, one patient had recurrence of breast fibroma. Conclusion： High-frequency ultrasound-guided minimally invasive treatment of MMT breast benign breast lesions can shorten the operation time, to obtain better cosmetic results and the psychological satisfaction, fewer complications, especially for the treatment of benign breast lesions 3 cm in diameter, is worthy of clinical application.