乳腺区段切除术后腺体断端处理方法的改进  

Improved treatment method for breast gland stump after segmental mastectomy

作　　者：钟庆琪[1] 李志高[2] 杨先荣[1] 庞达[2] 

机构地区：[1]福建医科大学附属龙岩第一医院普三科,福建龙岩364000 [2]哈尔滨医科大学附属第三医院乳腺外二科,黑龙江哈尔滨150081

出　　处：《中国现代普通外科进展》2011年第10期806-808,共3页Chinese Journal of Current Advances in General Surgery

摘　　要：目的:探讨乳腺区段切除术后,腺体残端不予缝合处理方法的可行性。方法:回顾性分析2010年6月—8月入院行乳腺区段切除术女性患者182例,其中89例术后采用不缝合腺体残端的处理方法(改良处理组),93例术后采用完全闭合腺体残端的传统处理方法(对照组)。比较两组患者的手术时间、感染发生情况、皮下血肿形成情况、双乳对称性、触诊手感、对外形满意度的差别、术区异样感的差别。结果:两组切口感染、皮下血肿形成的差异无统计学意义(P>0.05);而改良处理组的手术时间、触诊手感、术区异样感、双乳对称性、患者外形满意度明显优于对照组,差异均有统计学意义(P<0.05);结论:乳腺区段切除术后,不缝合腺体断端,是保持乳房外形安全、可行的方法。Objective： To explore the feasibility of not sutured the breast gland stump treat- ment method after segmental mastectomy. Methods： 182 cases of hospitalized female patients with breast segmental mastectomy were enrolled in this study between June 2010 and August 2010. Experimental group （89 cases） with not sutured the breast gland stump treatment, and control group （93 cases） were used with traditional method treatment to completely closed the stump. Between the two groups, we compared the differences of operation time, infection case, hematoma formation,breasts symmetry, feel of hand palpation, satisfaction in breast shape, strange sense of technical areas. Experimental group compared with control group, there were no significant differences in infection case and hematoma formation. But there were significant differences in operation time, feel of hand palpation, strange sense of technical areas（P〈0.05）, and highly significant differences in breasts symmetry and patients satisfaction in breast shape （P〈0.001）. Conclusion： After segmental mastectomy, not suture the breast gland stump is to maintain the breast shape safe and feasible method.

关 键 词：乳腺肿瘤 外科治疗 腺体断端 

分 类 号：R730.56[医药卫生—肿瘤]