不同手术方式及路径治疗60例乳房中央肿块临床观察

Clinical observation for 60 cases of central breast lumps treated by different surgical approach and path

[背景]观察采用不同手术方式和手术路径治疗乳房中央肿块对术后并发症的影响.[病例报告]选择有哺乳需求的乳房中央肿块患者60例,其中行传统手术和麦默通手术者各为30例,观察手术时间、术后血肿、疼痛、疤痕、心理影响及术后哺乳影响等情况,比较2种手术方式的浅表性和非浅表性中央象限肿块的术后并发症.结果见,与传统手术比较,麦默通手术方式手术时间明显缩短(P<0.05),在术后疤痕产生和对心理影响方面明显优于传统手术(P<0.05),但术后疼痛、哺乳方面与传统手术比较差异无统计学意义(P>0.05).[讨论]采用麦默通手术方式治疗乳房中央肿块的术后并发症少于传统手术,在非浅表肿块治疗中优势更明显.

BACKGROUND To observe the effects of treatment of central breast lumps by choosing different surgical approach and path for post-operative complications.CASE REPORTS 60 patients of central breast lumps with needing breast feeding after operation were selected,and each 30 cases were carried out by traditional surgery approach and surgical procedures by using Mammotome Biopsy System,respectively,to observe the operative time,postoperative hematoma,pain,scars,psychological impact and breast-feeding,et al,and to compared with the post-operative complications of superficial and non-superficial central breast lumps between two surgical procedures.As compare with the traditional operation,the operative time was significantly shorter in Mammotome operation（P〈0.05）,but the post-operative pain and breast-feeding had no significant difference between Mammotome operation and traditional operation（P〉0.05）.DISCUSSION The postoperative complications of central breast lumps are more less in Mammotome operation than in traditional operation,especially advantage is more obvious in operation of non-superficial central breast lumps.