摘要
目的探讨麦默通微创旋切术与传统切开手术在乳腺肿物治疗中的效果。方法 80例乳腺肿物患者为研究对象,随机分为观察组与对照组,各40例。观察组患者给予麦默通微创旋切术治疗,对照组患者给予传统切开手术治疗,对比两组患者手术相关指标和术后并发症发生率及治疗满意度。结果观察组患者瘢痕大小、切口直径分别为(0.18±0.05)、(0.40±0.32)cm,明显小于对照组(1.21±0.32)、(3.02±0.22)cm,差异均具有统计学意义(t=20.1131、42.6708,P<0.05);观察组出血量(6.40±1.81)ml明显少于对照组的(17.04±8.47)ml,差异具有统计学意义(t=7.7695,P<0.05);观察组手术用时、愈合时间分别为(6.74±2.21)min、(1.84±0.71)d明显快于对照组的(16.54±4.11)min、(7.21±0.57)d,差异均具有统计学意义(t=13.2820、37.3016,P<0.05)。观察组患者术后并发症发生率7.50%(3/40)显著低于对照组的25.00%(10/40),差异具有统计学意义(χ~2=4.5006,P<0.05)。观察组患者治疗满意度95.00%(38/40)显著高于对照组的80.00%(32/40),差异具有统计学意义(χ~2=4.1143,P<0.05)。结论麦默通微创旋切术在乳腺肿物治疗中相对传统切开手术有明显优势,可达到更好的手术效果,在切除肿物的同时也满足患者的心理需求,且并发症发生率低,安全有效。
Objective To investigate the effect of Mammotome minimally invasive surgery and traditional open surgery in the treatment of breast neoplasms.Methods A total of 80 patients with breast neoplasms were selected as research objects.they were randomly divided into observation group and control group,40 cases in each group.Patients in the observation group were treated with Mammotome minimally invasive surgery,patients in the control group were treated with traditional open surgery.The operative related indicators,occurrence of postoperative complications and treatment satisfaction between the two groups were compared.Results The size of scar and the diameter of incision in the observation group were(0.18±0.05)cm and(0.40±0.32)cm respectively,which were significantly less than(1.21±0.32)cm and(3.02±0.22)cm in the control group,the differences were statistically significant(t=20.1131,42.6708,P<0.05).And the amount of hemorrhage in the observation group was(6.40±1.81)ml,which was significantly less than(17.04±8.47)ml in the control group,the difference was statistically significant(t=7.7695,P<0.05).The operative time and healing time of the observation group were(6.74±2.21)min and(1.84±0.71)d respectively,which were significantly shorter than(16.54±4.11)min and(7.21±0.57)d of the control group,the differences were statistically significant(t=13.2820,37.3016,P<0.05).The incidence of postoperative complications in the observation group was 7.50%(3/40),which was significantly lower than 25.00%(10/40)in the control group,the difference was statistically significant(χ2=4.5006,P<0.05).The treatment satisfaction of the observation group was 95.00%(38/40),which was significantly higher than 80.00%(32/40)of the control group,and the difference was statistically significant(χ2=4.1143,P<0.05).Conclusion Compared with traditional open surgery,Mammotome minimally effect surgery has obvious advantages in the treatment of breast neoplasms.It can achieve better operative indicators,also meets the psychological needs of pati
作者
葛廷建
GE Ting-jian(Department of General Surgery,The People’s Hospital of Qihe County,Qihe 251100,China)
出处
《中国现代药物应用》
2018年第18期12-14,共3页
Chinese Journal of Modern Drug Application
关键词
麦默通
微创旋切术
传统切开手术
乳腺肿物
Mammotome
Minimally invasive surgery
Traditional open surgery
Breast neoplasms
