摘要
目的:探究真空辅助乳腺微创旋切术治疗乳腺纤维瘤的临床疗效及并发症。方法:回顾性分析2021年1月至2023年10月期间105例乳腺纤维瘤患者的临床资料,根据不同术式分为观察组(真空辅助乳腺微创旋切术,n=55)和对照组(予以采取环乳晕切口术,n=50)。采用SPSS 22.0统计学软件分析,围手术期临床指标、瘢痕量表(VSS)情况等计量资料以(x±s)表示,采用独立样本t检验,进行组内不同时间点比较时,采用配对样本检验。术后并发症发生情况、乳晕区感觉神经功能恢复情况等计数资料采用χ^(2)检验。P<0.05表示差异有统计学意义。结果:观察组患者的手术时间、术中出血量、切口愈合时间、切口长度均显著低于对照组(P<0.05);术后1周时,观察组患者术后并发症发生率(1.8%)显著低于对照组(14.0%)(P<0.05)。在术后1周、1个月和3个月时,观察组患者VSS评分显著低于对照组(P<0.05)。术后3个月时,观察组患者乳晕区感觉神经功能正常率显著高于对照组(P<0.05)。结论:真空辅助乳腺微创旋切术治疗乳腺纤维瘤不仅降低术后并发症,还加快瘢痕的愈合和乳晕区感觉神经功能的恢复。
Objective:To explore the clinical efficacy and complications of vacuum-assisted minimally invasive breast gyrotomy in the treatment of mammary fibroma.Methods:The clinical data of 105 patients with breast fibroma from January 2021 to October 2023 were retrospectively analyzed and divided into observation group(vacuum-assisted minimally invasive breast gyrotomy,n=55)and control group(circumareolar incision,n=50)according to different surgical methods.Statistical software SPSS 22.0 was used for analysis.Perioperative clinical indicators,scar scale(VSS)and other measurement data were presented with(x±s).Independent sample t test was used.The incidence of postoperative complications and the recovery of sensory nerve function in areola were measured byχ^(2) test.P<0.05 indicated that the difference was statistically significant.Results:The operative time,intraoperative blood loss,incision healing time and incision length in observation group were significantly lower than those in control group(P<0.05).One week after surgery,the incidence of postoperative complications in observation group(1.8%)was significantly lower than that in control group(14.0%)(P<0.05).At 1 week,1 month and 3 months after operation,the VSS score of observation group was significantly lower than that of control group(P<0.05).At 3 months after operation,the normal rate of sensory nerve function in the areolar region in observation group was significantly higher than that in control group(P<0.05).Conclusion:Vacuum-assisted minimally invasive breast gyrotomy for the treatment of breast fibroma not only reduces postoperative complications,but also accelerates scar healing and the recovery of sensory nerve function in areola region.
作者
向辉
贾晓斌
全卫涛
Xiang Hui;Jia Xiaobin;Quan Weitao(Department of Breast and Thyroid Surgery,Shangluo Central Hospital,Shangluo Shaanxi Province 726000,China;Department of General Surgery,Shangluo Hospital of Traditional Chinese Medicine,Shangluo Shaanxi Province 726000,China)
出处
《中华普外科手术学杂志（电子版）》
2024年第5期528-530,共3页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
基金
陕西省卫生健康科研基金项目(2022C001)。
