摘要
目的:探讨乳腺真空辅助旋切术治疗乳腺良性占位性病变的效果。方法:选取2018年1月至2019年7月本院乳腺良性占位性病变患者117例,按治疗方案不同分观察组(61例)和对照组(56例)。对照组采用乳晕旁切口术,观察组采用乳腺真空辅助旋切术,对比两组并发症发生率、手术情况、患者满意度、术后1年复发率及术后1h、3h、6h疼痛应激[血清前列腺素E2(PGE2)、P物质(SP)水平]。结果:观察组手术用时、瘢痕长度短于对照组,治疗费用多于对照组(P<0.05);术后3h、6h观察组血清PGE2、SP水平低于对照组(P<0.05);观察组术后血肿发生率低于对照组(P<0.05);观察组患者满意度高于对照组(P<0.05);观察组术后1年复发率低于对照组(P<0.05)。结论:乳腺真空辅助旋切术治疗乳腺良性占位性病变效果确切,能显著缓解术后疼痛应激,降低并发症发生风险及术后复发率,提高患者满意度。
Objective:To investigate the effect of vacuum-assisted Mammotome minimally invasive surgery in the treatment of benign breast space occupying lesions.Methods:117 patients with benign breast lesions in our hospital from January 2018 to July 2019 were retrospectively selected.According to different treatment plans,they were divided into the observation group(n=61)and control group(n=56).The control group underwent para-areolar incision,and the observation group were performed vacuum-assisted Mammotome minimally invasive surgery in the breast.The incidence of complications,surgeries,patients’satisfaction,recurrence rate one year after surgery,and pain stress(such as PGE2 and SP levels)1 h,3 h and 6 h after surgery,were compared between the two groups.Results:The operation time and scar length of the observation group were shorter than those of the control group,and the treatment costs was higher than that of the control group(P<0.05);serum PGE2 and SP levels in the observation group were lower than those in the control group at 3 h and 6 h after operation(P<0.05);the incidence of postoperative hematoma in the observation group was lower than that of the control group(P<0.05);the satisfaction degree of patients in the observation group was higher than that of the control group(P<0.05);and the recurrence rate at 1 year after surgery of the observation group was lower than that of the control group(P<0.05).Conclusion:Vacuum-assisted Mammotome minimally invasive surgery is effective in treating benign breast space-occupying lesions,which can significantly relieve postoperative pain and stress,reduce the risk of complications and postoperative recurrence,and improve the degree of patient satisfaction.
作者
李攀科
LI Panke(Dept.of General Surgery,the People's Hospital of Puyang County,Puyang 457100,China)
出处
《华夏医学》
CAS
2020年第6期14-17,共4页
Acta Medicinae Sinica
关键词
乳腺真空辅助旋切术
乳腺良性占位性病变
患者满意度
vacuum-assisted breast mammotome minimally invasive surgery
benign breast space-occupying lesions
degree of patients’satisfaction
