国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
17期
2700-2702
,共3页
乳腺区段切除术%乳腺良性肿块%临床价值
乳腺區段切除術%乳腺良性腫塊%臨床價值
유선구단절제술%유선량성종괴%림상개치
Partial mastectomy%Benign breast tumors%Clinical value
目的 探讨乳腺区段切除术对乳腺良性肿块的临床治疗价值.方法 将我院收治的120例乳腺良性肿块患者随机分为两组,每组60例,其中观察组采取改良乳腺区段切除术治疗,对照组采取传统乳腺区段切除术治疗,比较观察患者的手术时间、术中出血量、术后疼痛时间、愈合时间、乳房形态良好及并发症情况.结果 观察组的平均手术时间为(34±6.5)min、术中出血量为(82±12.5)mnl,对照组分别为(33±5.8)min、(80±13.6)ml,两组比较差异无统计学意义(P＞0.05),观察组患者术后疼痛时间为(1.8±0.3)d、愈合时间为(3.4±0.6)d,明显低于对照组,乳房外形良好率为88.33％,明显高于对照组(15.00％),两组比较差异有统计学意义(P＜0.01)；观察组并发症发生率为6.67％,明显低于对照组(31.67％),两组比较差异有统计学意义(P＜0.01).结论 改良乳腺区段切除术治疗乳腺良性肿块疗效显著,与传统术式相比患者疼痛小、恢复快、并发症少,值得临床推广应用.
目的 探討乳腺區段切除術對乳腺良性腫塊的臨床治療價值.方法 將我院收治的120例乳腺良性腫塊患者隨機分為兩組,每組60例,其中觀察組採取改良乳腺區段切除術治療,對照組採取傳統乳腺區段切除術治療,比較觀察患者的手術時間、術中齣血量、術後疼痛時間、愈閤時間、乳房形態良好及併髮癥情況.結果 觀察組的平均手術時間為(34±6.5)min、術中齣血量為(82±12.5)mnl,對照組分彆為(33±5.8)min、(80±13.6)ml,兩組比較差異無統計學意義(P＞0.05),觀察組患者術後疼痛時間為(1.8±0.3)d、愈閤時間為(3.4±0.6)d,明顯低于對照組,乳房外形良好率為88.33％,明顯高于對照組(15.00％),兩組比較差異有統計學意義(P＜0.01)；觀察組併髮癥髮生率為6.67％,明顯低于對照組(31.67％),兩組比較差異有統計學意義(P＜0.01).結論 改良乳腺區段切除術治療乳腺良性腫塊療效顯著,與傳統術式相比患者疼痛小、恢複快、併髮癥少,值得臨床推廣應用.
목적 탐토유선구단절제술대유선량성종괴적림상치료개치.방법 장아원수치적120례유선량성종괴환자수궤분위량조,매조60례,기중관찰조채취개량유선구단절제술치료,대조조채취전통유선구단절제술치료,비교관찰환자적수술시간、술중출혈량、술후동통시간、유합시간、유방형태량호급병발증정황.결과 관찰조적평균수술시간위(34±6.5)min、술중출혈량위(82±12.5)mnl,대조조분별위(33±5.8)min、(80±13.6)ml,량조비교차이무통계학의의(P＞0.05),관찰조환자술후동통시간위(1.8±0.3)d、유합시간위(3.4±0.6)d,명현저우대조조,유방외형량호솔위88.33％,명현고우대조조(15.00％),량조비교차이유통계학의의(P＜0.01)；관찰조병발증발생솔위6.67％,명현저우대조조(31.67％),량조비교차이유통계학의의(P＜0.01).결론 개량유선구단절제술치료유선량성종괴료효현저,여전통술식상비환자동통소、회복쾌、병발증소,치득림상추엄응용.
Objective To investigate the clinical value of modified partial mastectomy in benign breast tumors.Methods 120 patients with benign breast tumors in our hospital were randomly divided into two groups,each group of 60 cases.Observation group was treated with modified partial mastectomy,while control group was treated with traditional partial mastectomy.Observed and compared the operative time,intraoperative blood loss,postoperative pain time,healing time,breast shape and complications of two groups.Results The average operative time was(34 ± 6.5)min and intraoperative blood loss was(82 ± 12.5)ml in observation group;while those in control group were(33 ± 5.8)min,(80 ± 13.6)ml respectively,without statistically significant differences between two groups(P＞0.05).The postoperative pain time was(1.8 ± 0.3)d and healing time was(3.4 ± 0.6)d in observation group,significantly shorter than those in control group;the rate of good breast shape of observation group was 88.33％,significantly higher than that of control group,with a significant difference between two groups(P＜0.01);complication rate of observation group was 6.67％,significantly lower than that of control group(31.67％),with a significant difference between two groups(P＜0.01).Conclusion The clinical efficacy of modified partial mastectomy in benign breast tumors is significant,with less pain,faster recovery and fewer complications compared to traditional partial mastectomy,which is worthy of clinical application.
