摘要
目的分析乳腺良性肿块患者EnCor微创旋切术后血肿发生状况及影响因素。方法选择2019年1月至2021年6月安徽省马鞍山十七冶医院收治的80例乳腺良性肿块患者,所有患者均接受EnCor微创旋切术治疗,记录患者术后血肿发生状况,并分析术后血肿发生的影响因素。结果80例患者术后有6例患者发生血肿,发生率为7.50%。单因素分析显示,不同肿块数量、肿块深度、切割数量、Adler血供分级、术后绷带压迫时间患者血肿发生率比较,差异有统计学意义(P<0.05)。多因素分析显示,肿块数量、肿块深度、切割数量、Adler血供分级、术后绷带压迫时间均是EnCor微创旋切术后血肿发生的影响因素(OR>1,P<0.05)。结论肿块数量、肿块深度、切割数量、Adler血供分级、术后绷带压迫时间是乳腺良性肿块患者EnCor微创旋切术后血肿发生的重要危险因素。
Objective To analyze the incidence and influencing factors of hematoma in benign breast lymp patients after EnCor minimally invasive rotatectomy.Methods A total of 80 patients with benign breast lymps admitted to 17th Metallurgical Hospital from January 2019 to June 2021 were selected.All patients were treated with EnCor minimally invasive rotatectomy.The occurrence of postoperative hematoma was recorded,and the influencing factors of postoperative hematoma were analyzed.Results Postoperative hematoma occurred in six cases of the 80 patients,with an incidence of 7.50%.Univariate analysis showed that there were statistically significant differences in the incidence of hematoma among patients with different number of lumps,depth of lumps,number of incisions,Adler blood supply grade,and postoperative bandage compression time(P<0.05).The multivariate analysis showed that the number of lumps,the depth of lumps,the number of incisions,the Adler blood supply grade,and postoperative bandage compression time were all influencing factors for the occurrence of hematoma after EnCor minimally invasive rotatectomy(OR>1,P<0.05).Conclusion The number of lumps,the depth of lumps,the number of incisions,the Adler blood supply grading,and postoperative bandage compression time are important risk factors for the occurrence of hematoma after EnCor minimally invasive rotatectomy in patients with benign breast lymps.
作者
王沛
刘尚军
张如辉
WANG Pei;LIU Shangjun;ZHANG Ruhui(Ward Three,Department of General Surgery,17th Metallurgical Hospital,Anhui Province,Maanshan 243000,China)
出处
《中国医药导报》
CAS
2022年第23期97-99,108,共4页
China Medical Herald
关键词
乳腺
良性肿块
EnCor微创旋切术
血肿
影响因素
Breast
Benign lymp
EnCor minimally invasive rotatectomy
Hematoma
Influencing factors
