两种术式切除乳腺单发纤维瘤的疗效观察  

Effects of two surgical methods on single fibroadenoma of breast

作　　者：孙文聪[1] 孙卫国[2] 李文涛[1] 翟保平[1] 邓萌[1] 尤伟[1] 李育红[1] 张斌[1] 

机构地区：[1]郑州大学人民医院普外科,郑州450003 [2]河南省医学情报研究所

出　　处：《医药论坛杂志》2015年第3期5-6,9,共3页Journal of Medical Forum

基　　金：2012年河南省医学科技攻关计划省部共建项目(201201016)

摘　　要：目的探讨采用小切口娩出术和微创旋切术切除乳腺单发纤维腺瘤的手术情况及预后,比较两种术式的优缺点和术后疗效。方法 314例乳腺单发纤维腺瘤患者随机分为2组,实验组156例采用小切口娩出术切除乳腺肿块,对照组158例采用微创旋切术切除乳腺肿块。将两组患者的手术情况(手术时间、手术出血量)、术后并发症(术后血肿、切口裂开或延迟愈合、术后哺乳期积乳、术后肿瘤复发)、美容效果(切口瘢痕、腺体凹陷)、患者满意度进行对照研究。结果实验组在术中出血量、术后血肿、术后哺乳期积乳、术后肿瘤复发、腺体凹陷方面明显优于对照组,差异有统计学意义(P<0.05)。对照组在手术时间、术后切口裂开或延迟愈合、切口瘢痕方面明显优于实验组,差异有统计学意义(P<0.05)。结论两种术式各有优势,获得相似满意度。Objective To discuss the effectsand merits and faults of extrusion method with mini - incision and minimally invasive rotary varieotomy on single fibroadenoma of breast. Methods Total of 314 cases of single fibroadenoma of breast were randomly divided into two groups, experimental group with 156 patients underwent extrusion method with mini - incision and control group with 158 patients underwent minimally invasive rotary varicotomy. The operation conditions of patients （operation time, blood loss ）, postoperative complications （hematoma, incision dehiscence or delayed healing, galactostasis,tumor recurrence）, cosmetic result （ scar, depression of breast） and degree of satisfaction were compared between two groups. Results In the matter of blood loss, hematoma, gaiactostasis, tumor recurrence and depression of breast, experimental group was better than control group and there was significant difference between groups （ P 〈 0. 05 ）. Meanwhile, in the matter of operation time, incision dehiscence or delayed healing and scar, control group was better than experimental group and there was significant difference between groups （ P 〈 0. 05 ）. Conclusion Each of the operations has its advantage and gets similar satisfaction.

关 键 词：小切口娩出术 微创旋切术 乳腺纤维腺瘤 术后并发症 美容效果 

分 类 号：R655.8[医药卫生—外科学]