经腋前线单切口腔镜辅助乳腺手术切除乳腺纤维瘤的疗效观察  

Effects of video-assisted breast surgery through single incision on the anterior axillary line for adenofibroma

作　　者：王洪辉[1] 王笃杰[1] 单新芳 赵连锋[1] 庞丽[1] 孙贵强[1] 

机构地区：[1]山东滨州市中心医院结防院,251700

出　　处：《中国临床实用医学》2015年第4期16-18,共3页China Clinical Practical Medicine

基　　金：国家医学教育发展中心课题计划支撑（2012-28-07-033）

摘　　要：目的探讨经腋前线单切口腔镜辅助乳腺手术（VABS）切除乳腺纤维瘤的安全性与可行性。方法选择2010年1月至2014年12月滨州市中心医院结防院收治的51例乳腺纤维瘤患者，按治疗方法分为研究组（VABS）30例和对照组（经乳晕切口常规手术）21例。研究组按切口至病灶远端距离分为≤8em组16例和〉8cm组14例，比较各组问临床指标和并发症发生情况。结果51例患者均顺利完成手术，术中及术后均未见瘀斑、积液等严重并发症发生。研究组、对照组患者引流管拔除时间分别为（16．23±2．08）h、（16．42±2．11）h，组间比较差异无统计学意义（t=1．327，P〉0．05）；切口至病灶远端距离分别为（8．72±2．54）CIYI、（1．39±1．07）cm，差异有统计学意义（t=8．461，P〈0．05）。两组患者在出血量、住院时间、手术时间及切口长度等方面比较差异均无统计学意义（均P〉0．05）。切口至病灶远端距离≤8（2111和〉8（21270．两个亚组，手术时间分别为23（12～39）min、44（13—57）min，差异有统计学意义（t=2．396，P〈0．05）。两个亚组在病灶长径、出血量、住院时问和切口长度等方面比较差异均无统计学意义（均P〉0．05）。所有患者均未发生手术并发症。结论VABS在乳腺纤维瘤的治疗中可取得与常规手术相似的可行性和安全性，而在切除乳房外侧象限病灶时其可行性更佳。Objective To analysis the feasibility and safety of video-assisted breast surgery（VABS） through single incision on the anterior axillary line for adenofibroma. Methods Aretrospeetive analysis was made on the 51 eases of patients with adenofibroma in our hospital from 2010 January to 2014 December l,and the patients were divided into experimental group（video-assisted breast surgery through single incision） and control group（routine surgery）,and experimental group were divided into ≤ 8 cm group and 〉8 cm group,the clinical indicator and complications between each group were compared.Results 51 cases of patients all completed the operation smoothly,severe complications were not observed in the operation,such as ecchymosis and effusion.Drainage tube removed time[（16.23 ± 2.08） h vs（16.42 ± 2.11） h] between two group had no statistically difference（t=l.327,P〉0.05）. The distance from incision to lesion of experimental group was longer than control group[ （ 8.72 ± 2.54） cm vs （1.39 ± 1.07） cm],differeuee had significant significanee（t=8.461,P〈0.05）.And the amount of bleeding, hospitalization time, operation time and incision length between two group had no significant significauee（P〉0.05）.Experimental group were divided into ≤ 8 cm group and 〉8 cm group,The operation time of experimental group was shorter than control group[23（12-39） min vs 44（13-57） mini,difference was significant（t=2.396,P〈0.05）.The focal length to diameter, amount of bleeding, hospitalization time and length of incision between two subgroup had no significant differenee（P〉0.05）.All patients had no complications after operation. Conclusion VABS could achieve same feasibility and safety as routine surgery in treatment with adenofibroma,and has better feasibility in excision of lateral quadrant of breast .lesions.

关 键 词：乳腺纤维瘤 单切口 腋前线 乳腺手术 腹腔镜 

分 类 号：R737.9[医药卫生—肿瘤]