摘要
目的:探讨微创旋切术、传统开放手术和二者联合手术治疗乳腺多发肿瘤且存在较大病灶的临床疗效,为乳腺多发肿瘤患者的治疗提供临床依据。方法:将167例乳腺多发肿瘤患者分为微创手术组(n=83,给予微创旋切术)、传统手术组(n=42,给予传统开放手术)和联合手术组(n=42,给予微创旋切术和传统开放手术),观察3组患者手术时间,术中出血量,切口愈合时间,切口数与肿瘤数比值和术后瘀斑、感染、血肿、明显瘢痕、病灶残留发生率及患者心理满意率。结果:与传统手术组比较,微创手术组和联合手术组患者年龄较小(P<0.01)。与传统手术组和微创手术组比较,联合手术组患者手术时间明显增加(P<0.01);与传统手术组比较,联合手术组患者术中出血量明显减少(P<0.01);与微创手术组比较,联合手术组患者术中出血量明显增加(P<0.01);与传统手术组和微创手术组比较,联合手术组患者切口数与肿瘤数比值均明显减小(P<0.01);与微创手术组比较,联合手术组患者切口愈合时间明显增加(P<0.01)。3组患者术后总并发症、血肿、瘀斑、明显瘢痕、感染和病灶残留并发症发生率比较差异均无统计学意义(P>0.05)。与传统手术组比较,联合手术组患者心理满意率升高(P<0.05)。结论:乳腺微创旋切术联合传统开放手术对乳腺多发肿瘤且存在较大病灶患者疗效较好,手术切口少,患者满意率高,适合在特定人群中推广应用。
Objective:To discuss the clinical efficacy of minimally invasive circumcision,traditional open surgery,and combination surgery in the treatment of multiple breast tumors complicated with larger lesions,and to provide the clinical the basis for the treatment of the patients with multiple breast tumors.Methods:A total of 167 patients with multiple breast tumors were divided into minimally invasive surgery group(n=83,treated with minimally invasive circumcision),traditional surgery group(n=42,treated with traditional open surgery),and combination surgery group(n=42,treated with minimally invasive circumcision and traditional open surgery).The surgical time,intraoperative bleeding vomule,healing time of the incision,ratios of incision number to tumor number,and postoperative incidences of ecchymosis,infection,hematoma,obvious scar,and residual lesion,and the satisfaction rates of the patients in three groups were observed.Results:Compared with traditional surgery group,the ages of the patients in minimally invasive surgery group and combination surgery group were younger(P<0.01).Compared with traditional surgery group and minimally invasive surgery group,the surgical time of the patients in combination surgery group were significantly increased(P<0.01);compared with traditional surgery group,the intraoperative bleeding vomule of the patients in combination surgery group was decreased(P<0.01);compared with minimally invasive group,and the intraoperative bleeding vomule of the patients in combination surgery group was increased(P<0.01).Compared with traditional surgery group and minimally invasive surgery group,the ratio of incision number to tumor number of the patients in combination surgery group were decreased significantly(P<0.01);compared with minimally invasive surgery group,the wound healing time of the patients in combination surgery group was decreased significantly(P<0.01).There were no statistically significant differences in the incidences of total postoperative complications,hematoma,ecchymosis,obvious sc
作者
赵玉哲
赵怡然
冯丽
高山
王霞
曹文庆
张静
ZHAO Yuzhe;ZHAO Yiran;FENG Li;GAO Shan;WANG Xia;CAO Wenqing;ZHANG Jing(Department of Glandular Surgery,Hebei General Hospital,Shijiazhuang 050051,China;Graduate School,Hebei Medical University,Shijiazhuang 050017,China)
出处
《吉林大学学报（医学版）》
CAS
CSCD
北大核心
2023年第3期750-756,共7页
Journal of Jilin University：Medicine Edition
基金
河北省卫健委重点科技研究项目(20189164
20230331)。
关键词
乳腺肿瘤
微创旋切术
传统开放手术
术后并发症
Multiple breast tumors
Minimally invasive surgery
Traditional open surgery
Postoperative complication
