摘要
目的对比研究乳腺微创旋切术与传统手术对临床触诊阴性乳腺结节的治疗效果。方法选取2014年9月至2016年6月我院收治的240例临床触诊阴性的乳腺结节患者，应用随机数字表分为观察组和对照组，每组120例。观察组给予乳腺微创旋切治疗，对照组采取传统手术治疗。对两组患者术后病理结果、手术相关指标及手术并发症的结果进行分析。结果观察组118例患者成功切除乳腺结节，得到病理标本210处，其中良性病变112例201处，恶性病变6例9处。对照组120例患者均顺利完成手术，得到病理标本219处，其中良性病变113例208处，恶性病变7例11处；两组患者病理的良、恶性比例及病理类型的差异均无统计学意义（P均〉0.05）。观察组手术时间（16.72±3.65） min、术中出血量（9.45±2.35） ml、瘢痕长度（3.64±0.85） mm及术后切口愈合时间（3.36±0.67） d均明显低于对照组[手术时间：（41.21±5.94） min、术中出血量：（28.42±7.30） ml、瘢痕长度：（28.51±6.34） mm及术后切口愈合时间（6.79±1.58） d]，差异均有统计学意义（t值分别为38.245、26.891、42.238、21.738，P均〈0.001）。观察组患者无乳腺塌陷或乳房畸形的发生，低于对照组的6.7% （P＝0.007）。两组患者局部血肿、皮肤瘀斑、局部感染及结节复发的比较差异均无统计学意义（P均〉0.05）。结论乳腺微创旋切术治疗临床触诊阴性乳腺结节效果良好，适用于对乳房外观要求较高患者。
ObjectiveTo compare the efficacy of ATEC system and conventional surgery for the treatment of nonpalpable breast nodules.MethodsTwo hundred and forty cases patients with nonpalpable breast nodules who were treated in Maternal and Child Health Hospital of Pinggu District of Beijing from September 2014 to June 2016 were admitted and randomly divided into observation group and control group, 120 cases in each group.The observation group was treated with minimally invasive treatment, while the control group was treated by conventional surgery.The postoperative pathologic results, surgical parameters and complications were compared between 2 groups.ResultsOne hundred and eighteen cases were successfully removed and 210 pathological specimens were obtained in the observation group, including 201 benign lesions in 112 cases and 9 malignant lesions in 6 cases.In the control group, 208 benign lesions in 113 cases and 11 malignant lesions in 7 cases were obtained from 120 cases.There was no significant difference in the proportion or type of pathology between 2 groups（P〉0.05）. The operative time, blood loss, scar length and wound healing time were all significantly lower in the observation group than those in the control group（（16.72±3.65） min vs.（41.21±5.94） min, （9.45±2.35） ml vs.（28.42±7.30） ml, （3.64±0.85） mm vs.（28.51±6.34） mm, （3.36±0.67） d vs.（6.79±1.58） d; t=38.245, 26.891, 42.238, 21.738; P〈0.001）. The incidence of breast collapse or deformity in the observation group was lower than that in the control group（0 vs.6.7%, P=0.007）, but there was no significant difference in the incidence of hematoma, skin ecchymosis, local infection or nodular recurrence between 2 groups（P〉0.05）.ConclusionBreast minimally invasive resection is effective in the treatment of nonpalpable breast nodules, and is suitable for patients with high demands on breast appearance.
出处
《中国综合临床》
2017年第2期155-158,共4页
Clinical Medicine of China
