摘要
目的：探讨麦默通乳腺微创旋切术治疗乳腺良性肿块的临床疗效及安全性。方法将188例乳腺良性肿块患者采用数字表法随机分为两组，每组各94例，对照组采取传统开放手术，观察组实施麦默通乳腺微创旋切术，比较两组患者手术及术后恢复情况。结果观察组和对照组手术完整切除率分别为97.87％和96．81％，差异无统计学意义（χ2＝1．02，P＞0．05）；观察组手术时间、术中出血量、瘢痕长度、切口愈合及平均住院时间分别为（13．70±1．82） min、（5．36±0．41） mL、（2．86±0．11） mm、（2．55±0．18） d和（3.40±0．30）d，均较对照组的（27．83±2．43）min、（15．37±1．25）mL、（27．89±2．34）mm、（27．89±2．34）d和（5．76±0．55）d显著减少（t＝7．33、8．29、8．90、7．76、7．38，均P＜0．05）；观察组术后并发症发生率和乳房变形率分别为4．26％和0．00％，均显著低于对照组的19．15％和11．70％（χ2＝7．45、8．87，均P＜0．05）。结论麦默通乳腺微创旋切术治疗乳腺良性肿块疗效确切，安全性高，具有较好的临床应用和推广价值。
Objective To explore the clinical efficacy and safety of mammotome minimally invasive breast surgery in treatment of benign breast lumps .Methods 188 cases with benign breast tumor were randomly divided into the two groups , 94 cases in each group .The control group adopted the traditional open operation , while the patients in observation group received mammotome minimally invasive breast surgery .The operation and postoperative recovery situation were compared between two groups .Results The operation excision rate of the observation group and the control group were 97.87% and 96.81%,the difference was not statistically significant （χ2 =1.02,P〉0.05）;The operation time,intraoperative blood loss,length of incision healing and scar ,average hospitalization time of the observation group were （13.70 ±1.82）min,（5.36 ±0.41）ml,（2.86 ±0.11）mm,（2.55 ±0.18）d and （3.40 ± 0.30）d,which were significantly less than （27.83 ±2.43）min,（15.37 ±1.25）ml,（27.89 ±2.34）mm,（27.89 ± 2.34）d and （5.76 ±0.55）d of the control group（t=7.33,8.29,8.90,7.76,7.38,all P〈0.05）;The incidence rate of postoperative complications and breast deformation rate of the observation group were 4.26%and 0.00%,re-spectively,which were significantly lower than 19.15% and 11.70% of the control group （χ2 =7.45 8.87,all P〈0.05）.Conclusion Mammotome minimally invasive breast surgery has significant curative effect in the treatment of benign breast tumor with high safety ,which has good value of clinical application and promotion .
出处
《中国基层医药》
CAS
2014年第19期2969-2970,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
乳腺疾病
外科手术
微创性
Breast diseases
Surgical procedures,minimally invasive
