Mammotome 乳腺手术入路的临床分析与解剖学基础

中国临床解剖学杂志 ›› 2012, Vol. 30 ›› Issue (4): 462-465.

Mammotome 乳腺手术入路的临床分析与解剖学基础

刘晓珑，　金一怡，　肖刚，　于晓园，　刘立新

南方医科大学第三附属医院普外科，广州 510630

收稿日期:2012-02-12 发布日期:2012-07-27
通讯作者: 刘立新，主任医师，E-mail：knightjohn@126.com E-mail:g_xlliu@126.com
作者简介:刘晓珑（1979-），男，山西太原人，博士，主治医师，主要从事乳腺肿瘤外科研究，Tel：（020）62784430

The surgery approaches of mamotome operation: clinical analysis and anatomic basis

LIU Xiao-long, JIN Yi-yi, XIAO Gang, YU Xiao-yuan , LIU Li-xin

Department of General Surgery, Third Affiliated Hospital, Southern Medical University, Guangzhou 510630, China

Received:2012-02-12 Published:2012-07-27

摘要/Abstract

摘要：

目的　探讨根据患者的不同需求选择Mammotome手术入路以减少乳房相关并发症的可行性。方法　30例有哺乳需求女性患者根据就近原则采用放射状入路；11例无哺乳需求女性患者根据就近原则及美容原则采用水平状入路；观察各组患者的术中出血量、术后72 h皮肤瘀血、乳腺局部血肿形成情况，术后6天乳房皮肤感觉。术后哺乳期乳腺分泌受影响情况。结果　采用放射状入路可有效减少乳腺损伤，减少对术后泌乳的影响；采用水平状入路可有效控制血管、神经损伤。结论　选择麦默通手术入路可有效减少相关并发症满足患者的不同需求，但针对乳晕处肿物的手术方案仍需进一步研究。

关键词: 麦默通手术, 乳房, 手术入路, 并发症

Abstract:

Objective　To explore effects of different surgical approaches of mammotome operation on reducing postoperative complications.　Methods　30 female patients with nursing needs received the radial approach based on proximity principle. 11 cases without nursing needs received the horizontal approach based on proximity and beauty principles. We recorded bleeding during the operation, skin ecchymosis and breast hematoma within 72 hours after mamomtome operation. At postoperative Day 6, Breast skin sensation was detected in all cases. Postoperative mammary gland secretion was observed in 5 cases.　Results　The radial approach can effectively reduce the injury to mammary gland and keep postoperative lactation function. However, horizontal approach was more effective to protect blood vessels and nerves of the breast.　Conclusions　The operative complications could be effectively limited by selecting special mammotome approach, however, further focus is necessary to treat tumor nearing to mammary areola.

Key words: Mammotome operation, Breast, Operative approach, Complication

中图分类号:

R655.8

刘晓珑, 金一怡, 肖刚, 于晓园, 刘立新. Mammotome 乳腺手术入路的临床分析与解剖学基础[J]. 中国临床解剖学杂志, 2012, 30(4): 462-465.

LIU Xiao-Long, JIN Yi-Yi, XIAO Gang, XU Xiao-Wan, LIU Li-Xin. The surgery approaches of mamotome operation: clinical analysis and anatomic basis[J]. Chinese Journal Of Clinical Anatomy, 2012, 30(4): 462-465.

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