摘要
目的比较超声引导下Mammotome系统8G、11G旋切刀在乳腺良性肿块取材活检及肿块切除中的价值。方法120例139个乳腺病灶随机分成两组，第一组60例72个病灶，使用8G旋切刀进行旋切治疗；第二组60例67个病灶，使用11G旋切刀进行旋切治疗。比较二者取材成功率、切除每个病灶的平均时间，并在术后1周及6个月比较分析并发症的发生情况。结果第一组和第二组取材成功率均为100％，切除每个病灶平均所需时间分别为（13．84±3．9）min和（15．8±3．2）min，两组比较P〈0．05；术后1周并发症发生比分别为18．3％（11／60）和5．0％（3／60），P〈0．05；6个月后两组并发症均消失。结论8G和11G旋切刀在乳腺纤肿块取材活检时具有同样价值；但在完全切除肿块时，两者各有优缺点，临床医师应根据患者情况进行灵活选择。
Objective To compare the clinical value of 8G and 11G Mammotome system in benign breast lesion treatment under ultrasound guidance. Methods One hundred and thirty - nine lesions of 120 cases were randomly divided into 2 groups. 72 lesions of 60 cases as firtst group were treated by 8G Mammotome, and 67 lesions of 60 cases as second group were treated by 11G Mammotome. Then their successful rate of sample choosing and average time of lesion excision were compared, and the complication incidence at one week and six months after operation were analyzed. Results The successful rate of sample choosing were 100 % in two groups （P 〉 0.05 ）. The average time of lesion excision was （13.8 ± 3.9） rain and （15.8 ± 3.2） min, respectively（P 〈 0.05）. The complication incidence at one week after operation were 18.3 % （11/60） and 5.0% （3/60）,respectively （P〈0.05）, and all the complications disappeared after 6 months,（P〉0.05）. Conclusion 8G and 11G mammotome system has important value in breast lesion treatment, but each has its own advantages of lesion excision. Clinicians should make a flexible choice according to patients＇ condition.
出处
《临床超声医学杂志》
2009年第8期556-558,共3页
Journal of Clinical Ultrasound in Medicine
