改良乳腺区段切除术对乳腺良性肿块的治疗价值分析  

Analysis of the Value of Improved Breast Section Excision in the Treatment of Benign Breast Lumps

作　　者：姜远平[1] 宁红伟[1] 苏忠诚[1] 

机构地区：[1]辽源市妇婴医院外科,吉林辽源136200

出　　处：《中国继续医学教育》2016年第27期64-65,共2页China Continuing Medical Education

摘　　要：目的探讨改良乳腺区段切除术治疗乳腺良性肿块的临床效果。方法抽选乳腺良性肿块患者90例随机分为两组,分别给予改良乳腺区段切除术(观察组45例)以及常规乳腺区段切除术(对照组45例),统计患者疼痛评分、住院时间、并发症发生率等手术指标以及乳房外形满意度差异。结果观察组患者术后24 h疼痛评分(6.7±1.0)分、住院时间(4.2±1.5)天、并发症发生率11.1%(5/45)、乳房外形满意度93.3%(42/45);对照组术后24 h疼痛评分(8.9±1.2)分、住院时间(7.6±1.6)天、并发症发生率26.7%(12/45)、乳房外形满意度77.8%(35/45),两组患者上述指标对比,差异有统计学意义(P<0.05)。结论改良乳腺区段切除术治疗乳腺良性肿块能有效缓解患者术后疼痛并优化相关手术指标,提高患者乳房外形满意度。Objective To investigate the clinical effect of modified breast section excision in the treatment of benign breast lumps. Methods Selected 90 cases of benign breast masses were randomly divided into two groups,they were treated with modified partial Mastcctomy（observation group 45 cases） and conventional segmental mastectomy（control group 45 cases）, statistical pain score, length of stay, incidence of complications, and differences in breast appearance satisfaction. Results Observation group of patients after 24 h pain score（6.7±1.0）, hospital stay（4.2±1.5） days, the incidence of complications 11.1%（5/45）, breast shape satisfaction 93.3%（42/45）. The control group after 24 h pain score（8.9±1.2）, hospitalization time（7.6±1.6） days, the incidence of complications was 26.7%（12/45）, breast appearance satisfaction 77.8%（35/45）, the two groups in the above indicators comparison, the difference was statistically significant（P〈0.05）. Conclusion Improved breast section excision in the treatment of benign breast lumps can effectively relieve postoperative pain and optimize the related indicators, improve the patients＇ breast shape satisfaction.

关 键 词：改良乳腺区段切除术 乳腺良性肿块 乳房外形 满意度 

分 类 号：R61[医药卫生—外科学]