麦默通微创旋切术对乳腺肿块患者的临床效果及对患者生存质量的影响研究  

Effect of Mammotome Minimally Invasive Surgery on Clinical Effect and Quality of Life of Patients with Breast Mass

作　　者：张凯 刘钢[2] ZHANG Kai;LIU Gang(Wuxue Traditional Chinese Medicine Hospital,Wuxue 435400,China;不详)

机构地区：[1]武穴市中医医院,湖北武穴435400 [2]黄石市中心医院

出　　处：《中外医学研究》2019年第34期29-31,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨麦默通微创旋切术在乳腺肿块患者中的临床效果及对患者生存质量的影响。方法:选择2014年1月-2015年1月乳腺肿块患者100例作为研究对象,将其随机分为对照组(n=50)和观察组(n=50)。对照组给予开放乳腺肿块切除术治疗,观察组采用麦默通微创旋切术治疗。比较两组手术指标、生存质量、并发症发生情况及复发率。结果:观察组手术时间、切口愈合时间、术中出血量及瘢痕长度均优于对照组,差异有统计学意义(P<0.05)。观察组术后7 d生理功能、生理职能、活力、情感职能、社会功能、精神健康、总体健康及躯体疼痛评分均高于对照组,差异有统计学意义(P<0.05)。观察组术后乳腺畸形、局部血肿、皮肤色素沉着发生率均低于对照组,术区及术区外复发率均低于对照组,差异有统计学意义(P<0.05)。结论:麦默通微创旋切术用于乳腺肿块患者创伤较小,能提高患者生存质量,降低并发症及术后复发率,值得推广应用。Objective:To investigate the clinical effect of mammotome minimally invasive surgery in patients with breast mass and its effect on patients'quality of life.Method:A total of 100 patients with breast mass from January 2014 to January 2015 were selected as the study subjects and were randomly divided into the control group(n=50)and the observation group(n=50).The control group was treated with open breast mass resection.The observation group was treated with mammotome minimally invasive surgery.The operation indicator,quality of life,complications and recurrence rates of the two groups were compared.Result:The operation time,wound healing time,intraoperative blood loss and scar length in the observation group were all better than those in the control group,the differences were statistically significant(P<0.05).The scores of physiological function,physiological function,vitality,emotional function,social function,mental health,general health and physical pain in the observation group were all higher than those in the control group 7 days after the operation,the differences were statistically significant(P<0.05).The incidence of postoperative breast malformation,local hematoma and skin pigmentation in the observation group were lower than those in the control group,and the recurrence rate in the operation area and outside the operation area were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Mammotome minimally invasive surgery for patients with breast mass has less trauma,can improve the quality of life of patients,reduce complications and postoperative recurrence rate,and is worthy of popularization and application.

关 键 词：麦默通微创旋切术 乳腺肿块 开放乳腺肿块切除术 临床效果 生存质量 

分 类 号：R73[医药卫生—肿瘤]