摘要
目的探讨麦默通微创旋切手术在良性乳腺肿物治疗中的应用效果。方法 106例良性乳腺肿物患者,采用等量电脑随机法分为对照组与实验组,各53例。对照组采取常规切除手术治疗,实验组采取麦默通微创旋切手术治疗。比较两组患者手术指标、术后恢复情况及并发症发生情况。结果实验组患者术中出血量(11.45±3.10)ml明显少于对照组的(111.57±12.73)ml,切口长度(16.09±2.40)mm、手术时间(17.18±6.26)min均明显短于对照组(40.31±3.54)mm、(57.40±11.29)min,差异均有统计学意义(P<0.05)。实验组患者术后瘢痕长度(2.70±0.61)mm明显短于对照组的(27.72±5.74)mm,乳房变形率1.89%、肿物残留率0均明显低于对照组的13.21%、9.43%,差异均具有统计学意义(P<0.05)。两组患者并发症发生率比较差异具有统计学意义(P<0.05)。结论麦默通微创旋切手术治疗良性乳腺肿物具有显著的临床效果,可减少乳腺变形与肿物残留的发生,能缩短瘢痕长度,且手术损伤较小,术后并发症发生率较低。
Objective To discuss the practical effect of Mammotome minimally invasive surgery in the treatment of benign breast tumor.Methods A total of 106 patients with benign breast tumor were randomly divided into control group and experimental group,with 53 cases in each group.The control group was treated by conventional resection,and the experimental group was treated by Mammotome minimally invasive surgery.The surgical indicators,postoperative recovery and occurrence of complications were compared between the two groups.Results The blood loss during surgery(11.45±3.10)ml of the experimental group was obviously less than that of the control group(111.57±12.73)ml,and incision length(16.09±2.40)mm and surgery time(17.18±6.26)min was obviously shorter than that of the control group(40.31±3.54)mm and(57.40±11.29)min,and the difference was statistically significant(P<0.05).The postoperative scar length(2.70±0.61)mm of the experimental group was obviously shorter than that of the control group(27.72±5.74)mm,and breast deformation rate 1.89%and residual tumor rate 0 was obviously lower than that of the control group 13.21%and 9.43%,and the difference was statistically significant(P<0.05).There was statistically significant difference in incidence of complications between the two groups(P<0.05).Conclusion Mammotome minimally invasive surgery shows remarkable clinical effect on benign breast tumor,which can reduce the occurrence of breast deformation and residual tumor,shorten the length of scar,and has less surgical damage and a lower incidence of postoperative complications.
作者
常志坤
CHANG Zhi-kun(Department of Breast Surgery,Tieling Central Hospital,Tieling 112000,China)
出处
《中国现代药物应用》
2020年第17期43-45,共3页
Chinese Journal of Modern Drug Application
关键词
麦默通微创旋切手术
良性乳腺肿物
常规切除手术
Mammotome minimally invasive surgery
Benign breast tumor
Conventional resection
