Mammotome微创旋切术治疗乳腺不可触及微小病灶的效果

Effect of Mammotome Minimally Invasive Gyrotory in the Treatment of Untouchable Microscopic Lesions of the Breast

目的:探讨Mammotome(MMT)微创旋切术治疗乳腺不可触及微小病灶的临床效果。方法:选择2021年1月—2023年5月于九江市第三人民医院行手术根治的100例乳腺不可触及微小病灶患者。根据不同手术方式将其分为对照组(n=40)和观察组(n=60);观察组采用超声引导下MMT微创旋切术治疗,对照组采用常规开放式乳腺肿块切除术治疗。比较两组手术相关指标、住院时间、瘢痕大小、术后疼痛情况、并发症发生情况;随访6个月,比较两组末次随访时复发情况及满意度。结果:观察组术中出血量、切口愈合时间、住院时间及瘢痕大小均优于对照组,术后疼痛程度轻于对照组,差异均有统计学意义(P<0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05);随访6个月,两组复发率比较,差异无统计学意义(P>0.05);观察组总满意度为96.67%,高于对照组的72.50%,差异有统计学意义(P<0.05)。结论:MMT微创旋切术治疗乳腺不可触及微小病灶的手术创伤小、操作简单、并发症少、疗效满意,术后乳房外形美学满意度高,在良性乳腺不可触及微小病灶的诊治中具有重要应用价值。

Objective:To investigate the effect of Mammotome(MMT)minimally invasive gyrotory in the treatment of untouchable microscopic lesions of the breast.Method:A total of 100 patients with untouchable microscopic lesions of the breast undergoing radical surgery in the Third People's Hospital of Jiujiang City from January 2021 to May 2023 were selected.The patients were divided into control group(n=40)and observation group(n=60)according to different operation methods.The observation group was treated with ultrasound-guided MMT minimally invasive gyrotory,while the control group was treated with conventional open mastectomy.The postoperative indexes,hospital stay,scar size,postoperative pain and complications were compared between two groups.After 6 months of follow-up,the recurrence and satisfaction of two groups were compared at the last follow-up.Result:The amount of blood loss,incision healing time,hospital stay and scar size in the observation group were better than those in the control group,and the degree of postoperative pain was less than that in the control group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of complications between two groups(P>0.05).After 6 months of follow-up,there was no significant difference in recurrence rate between two groups(P>0.05).The satisfaction of observation group was 96.67%,which was higher than 72.50%of control group,the difference was statistically significant(P<0.05).Conclusion:MMT minimally invasive gyrotory in the treatment of untouchable microscopic lesions of the breast has little trauma,simple operation,few complications,satisfactory efficacy,and high satisfaction with postoperative breast appearance aesthetics,which has important application value in the diagnosis and treatment of untouchable microscopic lesions of the breast.