麦默通乳腺微创手术术中、术后出血的原因分析及防治

Cause Analysis and Prevention Measure of the Bleeding in and after Mammotome Breast Micro-invasive Operation

目的总结分析用麦默通(Mammotome)做乳腺微创手术术中及术后出血的原因及防治方法。方法对456例麦默通乳腺微创手术,在术中、术后出血的发生情况、处理方法、出血原因及预防措施进行分析并对预防措施进行探讨。结果在彩超引导下对793个乳腺病灶切除,出现术中出血51例,术后形成血肿46例,皮肤形成瘀斑32例。通过相应处理,全部病例均治愈。结论乳腺麦默通微创手术在切除较大病灶及多发病灶时出血情况明显增加,通过筛选接受微创手术的肿块大小及数量、加压包扎、术后避免患侧上肢剧烈运动及乳房碰撞可减少面麦默通微创手术的出血。

Objective To summarize and analyze the cause of the bleeding in and after Mammotome breast micro-mvasive opera- tion and the prevention measures. Methods A retrospective analysis was made to the clinical data of the 456 cases with bleeding in and after Mammotome, the treatment and the bleeding cause and prevention measures were summarized. Results Out of the resection of 793 breast lesions under the guidance of color Doppler ultrasound, bleeding in operation occurred in 51 cases, post-operative hematoma was found in 46 cases and skin ecchymosis in 32 cases; all the patients were cured with certain treatment. Conclusions The resection of bigger lesions or multi-lesions in Mammotome leads to more bleeding; such measures can reduce the bleeding in and after Mammo- tome as selection of the size and number of lesions for micro-invasive operation, pressure bandaging, avoidance of intensive exercises of upper limbs and collision of breast.