摘要
目的探讨B超引导下Mammotome微创旋切系统在男性乳房肥大症微创手术中的应用价值.方法B超引导下利用Mammotome对10例17处男性乳房肥大症行微创旋切切除术.结果乳房肿块均被Mammotome微创旋切切除,每处平均旋切28次(25～47次).手术时间15～40 min,平均30 min.皮肤切口仅3～4 mm,术后1周2例出现轻度皮下瘀斑,1例出现局部小血肿.10例随访6～8周,临床及B超复查均无异常.结论B超引导下Mammotome微创旋切系统行男性乳房肥大症切除术,操作简易,创伤小,切除彻底,值得临床推广.
Objective To evaluate the clinical application of ultrasound-guided minimally invasive stereotactic breast excision using the Mammotome system in the treatment of idiopathic gynecomastia. Methods Minimally invasive stereotactic excision using the Mammotome system under the guidance of B-ultrasonography was performed in 10 patients with idiopathic gynecomastia （ 17 lesions）. Results All the 17 lesions were completely removed, with a mean of 28 times （25-47） of excision per lesion, The operative time was 15-40 min （ mean, 30 min）. The length of incision was only 3-4 mm. Slight subcutaneous ecchymosis and local hematoma were noted in 2 patients and 1 patient 1 week after operation, respectively. Clinical and B-ultrasonic examinations revealed normal findings in the 10 patients on the follow-up for 6-8 weeks. Conclusions B-ultrasound guided minimally invasive stereotactic breast excision using the Mammotome system is a simple, mini-invasive and radical technique for the treatment of gynecomastia, which is worthy of being recommended.
出处
《中国微创外科杂志》
CSCD
2005年第9期764-765,共2页
Chinese Journal of Minimally Invasive Surgery
