中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
19期
2969-2970
,共2页
乳腺疾病%外科手术,微创性
乳腺疾病%外科手術,微創性
유선질병%외과수술,미창성
Breast diseases%Surgical procedures,minimally invasive
目的：探讨麦默通乳腺微创旋切术治疗乳腺良性肿块的临床疗效及安全性。方法将188例乳腺良性肿块患者采用数字表法随机分为两组，每组各94例，对照组采取传统开放手术，观察组实施麦默通乳腺微创旋切术，比较两组患者手术及术后恢复情况。结果观察组和对照组手术完整切除率分别为97.87％和96．81％，差异无统计学意义（χ2＝1．02，P＞0．05）；观察组手术时间、术中出血量、瘢痕长度、切口愈合及平均住院时间分别为（13．70±1．82） min、（5．36±0．41） mL、（2．86±0．11） mm、（2．55±0．18） d和（3.40±0．30）d，均较对照组的（27．83±2．43）min、（15．37±1．25）mL、（27．89±2．34）mm、（27．89±2．34）d和（5．76±0．55）d显著减少（t＝7．33、8．29、8．90、7．76、7．38，均P＜0．05）；观察组术后并发症发生率和乳房变形率分别为4．26％和0．00％，均显著低于对照组的19．15％和11．70％（χ2＝7．45、8．87，均P＜0．05）。结论麦默通乳腺微创旋切术治疗乳腺良性肿块疗效确切，安全性高，具有较好的临床应用和推广价值。
目的：探討麥默通乳腺微創鏇切術治療乳腺良性腫塊的臨床療效及安全性。方法將188例乳腺良性腫塊患者採用數字錶法隨機分為兩組，每組各94例，對照組採取傳統開放手術，觀察組實施麥默通乳腺微創鏇切術，比較兩組患者手術及術後恢複情況。結果觀察組和對照組手術完整切除率分彆為97.87％和96．81％，差異無統計學意義（χ2＝1．02，P＞0．05）；觀察組手術時間、術中齣血量、瘢痕長度、切口愈閤及平均住院時間分彆為（13．70±1．82） min、（5．36±0．41） mL、（2．86±0．11） mm、（2．55±0．18） d和（3.40±0．30）d，均較對照組的（27．83±2．43）min、（15．37±1．25）mL、（27．89±2．34）mm、（27．89±2．34）d和（5．76±0．55）d顯著減少（t＝7．33、8．29、8．90、7．76、7．38，均P＜0．05）；觀察組術後併髮癥髮生率和乳房變形率分彆為4．26％和0．00％，均顯著低于對照組的19．15％和11．70％（χ2＝7．45、8．87，均P＜0．05）。結論麥默通乳腺微創鏇切術治療乳腺良性腫塊療效確切，安全性高，具有較好的臨床應用和推廣價值。
목적：탐토맥묵통유선미창선절술치료유선량성종괴적림상료효급안전성。방법장188례유선량성종괴환자채용수자표법수궤분위량조，매조각94례，대조조채취전통개방수술，관찰조실시맥묵통유선미창선절술，비교량조환자수술급술후회복정황。결과관찰조화대조조수술완정절제솔분별위97.87％화96．81％，차이무통계학의의（χ2＝1．02，P＞0．05）；관찰조수술시간、술중출혈량、반흔장도、절구유합급평균주원시간분별위（13．70±1．82） min、（5．36±0．41） mL、（2．86±0．11） mm、（2．55±0．18） d화（3.40±0．30）d，균교대조조적（27．83±2．43）min、（15．37±1．25）mL、（27．89±2．34）mm、（27．89±2．34）d화（5．76±0．55）d현저감소（t＝7．33、8．29、8．90、7．76、7．38，균P＜0．05）；관찰조술후병발증발생솔화유방변형솔분별위4．26％화0．00％，균현저저우대조조적19．15％화11．70％（χ2＝7．45、8．87，균P＜0．05）。결론맥묵통유선미창선절술치료유선량성종괴료효학절，안전성고，구유교호적림상응용화추엄개치。
Objective To explore the clinical efficacy and safety of mammotome minimally invasive breast surgery in treatment of benign breast lumps .Methods 188 cases with benign breast tumor were randomly divided into the two groups , 94 cases in each group .The control group adopted the traditional open operation , while the patients in observation group received mammotome minimally invasive breast surgery .The operation and postoperative recovery situation were compared between two groups .Results The operation excision rate of the observation group and the control group were 97.87% and 96.81%,the difference was not statistically significant (χ2 =1.02,P>0.05);The operation time,intraoperative blood loss,length of incision healing and scar ,average hospitalization time of the observation group were (13.70 ±1.82)min,(5.36 ±0.41)ml,(2.86 ±0.11)mm,(2.55 ±0.18)d and (3.40 ± 0.30)d,which were significantly less than (27.83 ±2.43)min,(15.37 ±1.25)ml,(27.89 ±2.34)mm,(27.89 ± 2.34)d and (5.76 ±0.55)d of the control group(t=7.33,8.29,8.90,7.76,7.38,all P<0.05);The incidence rate of postoperative complications and breast deformation rate of the observation group were 4.26%and 0.00%,re-spectively,which were significantly lower than 19.15% and 11.70% of the control group (χ2 =7.45 8.87,all P<0.05).Conclusion Mammotome minimally invasive breast surgery has significant curative effect in the treatment of benign breast tumor with high safety ,which has good value of clinical application and promotion .
