摘要
目的探讨乳腺肿块微创手术出现的问题及其处理方法。方法总结712例乳腺肿块微创手术(Mammotome)的临床经验。结果本组712例共切除乳腺肿块1289个,良性702例(1279个);乳腺癌lO例(10个),直径0.7~1.2cm,再行保乳手术7例,改良根治术1例,自动出院2例。本组无一例发生切口感染。术后出血14例,其中皮下瘀血5例,血肿9例;皮肤损伤4例。结论血肿、皮下瘀血、皮肤破损是乳腺肿块微创手术的常见并发症,积极采取有效措施可明显减少并发症。
Objective To investigate the problems and treatment methods of Mammotome minimally invasive operation for breast tumor. Methods Clinical experience of 712 breast lumps cases admitted from April 2008 to June 2013 were assessed. All cases were performed Mammotome minimally invasive operation to resect breast tumor. Results All 712 cases were resected 1 289 lumps, including 1 279 benign lumps in 702 cases and 10 malignant lumps in 10 cases. Among the breast cancer cases, breast-conserving surgery was per- formed in 7 cases, modified radical mastectomy in 1 cases and automatic discharge in 2 case. All incisions were cured without infection. Postoperative bleeding was found in 14 eases, including 5 of subcutaneous bleeding and 9 of hematoma. Skin injury by knife cutting was found in 4 cases. Conclusions Hematoma, ecchymosis, skin injury are the common complications due to minimally invasive surgery of breast tumor. And taking effective measures can reduce the incidence rate of these complications.
出处
《中国现代手术学杂志》
2013年第6期427-429,共3页
Chinese Journal of Modern Operative Surgery
基金
2013河源市科技计划项目(项目编号:2013-061)
关键词
乳腺肿瘤
外科手术
微创
MAMMOTOME
并发症
breast neoplasms
surgical procedures, minimally invasive
Mammotome
complications