Abstract: 【Abstract】 Objective〓To compare and analyze the clinical efficacy of the Mammotome atherectomy and traditional surgery in the treatment of the breast mass. Methods〓420 cases of patients with breast mass were diagnosed from Jan 2011 to Jan 2012,.which were randomized into group A (n=210)and group B (n=210). The patients of group A was treated with Mammotome atherectomy therapy, and those of group B were treated with traditional surgery. The operation time, blood loss, postoperative scar size, incision healing, postoperative analgesia and complications were analyzed and compared between the two groups. Results〓When compared with group B, the surgical treatment in group A showed excellent results which were as follow, shorter operation time, less intra-operative blood loss, smaller incision scar, shorter healing time, less analgesia use (all P<0.05). The follow-up in group A was 3 to 32 (an average of 17.49±3.27) months, and was 3 to 29 (an average of 16.83±3.41) months n B group. The mammary gland residual lesion was not found in both two groups. Conclusion〓Using the Mammotome atherectomy therapy in the treatment of the breast mass is superior to the traditional surgery, and it is safer and more effective.

Key words: Breast mass, Traditional surgery, Mammotome atherectomy

摘要： 【摘要】 目的 对比分析乳腺肿块患者采用麦默通旋切术与传统手术治疗效果。方法〓自2011年1月~2012年1月期间我院收治的乳腺肿块患者,根据随机数字表法随机分为两组(A组和B组),A组采用麦默通旋切术治疗,B组采用传统手术治疗。每组患者各210例。共420例入组,每组均210例。对比分析两组手术时间、术中出血量、术后瘢痕大小、术后愈合时间、术后镇痛以及术后并发症发生情况。结果〓两组均完整切除乳腺肿块。与B组相比,A组手术时间短、术中出血量少、术后瘢痕小、术后愈合时间短(所有P<0.05);并且A组术后镇痛次数也较B组少(P<0.05)。术后两组并发症发生率的差异无统计学差异。A组随访时间为3个月~32(17.49±3.27)个月,B组随访时间为3个月~29(16.83±3.41)个月,均未发现乳腺内残留病灶。结论〓乳腺肿块患者采用麦默通旋切术治疗效果明显优于传统手术,手术时间短、术中出血量少、术后瘢痕小、愈合时间快,并发症少,镇痛效果好,故而临床应用安全可靠,值得进一步推广应用。

关键词: 乳腺肿块, 传统手术, 麦默通旋切术