摘要
目的 比较微创旋切术与传统开放式手术方法治疗乳腺良性肿瘤的疗效、并发症情况。方法 选取2016年1月 2018年 3月青海省第五人民医院收治的400例乳腺良性肿瘤患者,在患者及其家属同意下,采用随机对照研究的方法,把入选病例分为微 创组和开放组,每组200例。比较2组患者临床疗效、手术情况和并发症情况。结果 微创组的满意度高于开放组,差异有统计学意 义(P<0.05)。微创组术中出血量较对照组术中出血量降低,差异有统计学意义(P<0.05)。微创组手术时间较开放组手术时间降低 (P<0.05)。微创组并发症发生率比开放组降低,差异有统计学意义(P<0.05)。开放组积液发生率,显著高于微创组(P<0.05)。 结论 与传统开放式手术比较,微创旋切术治疗乳腺良性肿瘤的疗效较好,还可减少不良反应,值得临床应用。
Objective To investigate the clinical effect, complications of minimally invasive surgery and traditional open methods in the treatment of benign breast tumor. Methods A total of 400 cases of benign breast tumor treated in our hospital were analyzed, and divided into the minimally invasive group(200 cases)and open group(200 cases)using the random number table method. The open group was treated with traditional open methods, while the minimally invasive group received minimally invasive surgery. After treatment, the clinical efficacy and complications were compared between the two groups. Results The satisfaction rate of the minimally invasive group was higher than that of the open group, and the difference was statistically significant(P<0.05). The amount of intraoperative bleeding in the minimally invasive group was smaller than in the open group(P<0.05). The duration of surgery in the minimally invasive group was shorter than in the open group(P<0.05). The rate of adverse reactions in the minimally invasive group was lower than in the open group(P<0.05). The incidence of effusion in the open group was significantly higher than that in the minimally invasive group(P<0.05). Conclusion Compared with traditional methods, minimally invasive surgery in the treatment of benign breast tumor can effectively improve the therapeutic effect and reduce the rate of adverse reactions.
作者
马贞秀
张宝亮
MA Zhenxiu;ZHANG Baoliang(Department of Mammary Gland,The Fifth People's Hospital of Qinghai Province,Xining 810000,China)
出处
《空军医学杂志》
2019年第5期410-411,443,共3页
Medical Journal of Air Force
关键词
微创旋切法
乳腺良性肿瘤
临床疗效
minimally invasive
benign breast tumor
clinical effect