乳腺真空辅助旋切术治疗乳腺良性占位性病变的效果分析  

Effect analysis of vacuum-assistedMammotome minimally invasive surgery in the treatment of patients with benign breast space-occupying lesions

作　　者：李攀科 LI Panke(Dept.of General Surgery,the People's Hospital of Puyang County,Puyang 457100,China)

机构地区：[1]濮阳县人民医院普外科,河南濮阳457100

出　　处：《华夏医学》2020年第6期14-17,共4页Acta Medicinae Sinica

摘　　要：目的:探讨乳腺真空辅助旋切术治疗乳腺良性占位性病变的效果。方法:选取2018年1月至2019年7月本院乳腺良性占位性病变患者117例,按治疗方案不同分观察组(61例)和对照组(56例)。对照组采用乳晕旁切口术,观察组采用乳腺真空辅助旋切术,对比两组并发症发生率、手术情况、患者满意度、术后1年复发率及术后1h、3h、6h疼痛应激[血清前列腺素E2(PGE2)、P物质(SP)水平]。结果:观察组手术用时、瘢痕长度短于对照组,治疗费用多于对照组(P<0.05);术后3h、6h观察组血清PGE2、SP水平低于对照组(P<0.05);观察组术后血肿发生率低于对照组(P<0.05);观察组患者满意度高于对照组(P<0.05);观察组术后1年复发率低于对照组(P<0.05)。结论:乳腺真空辅助旋切术治疗乳腺良性占位性病变效果确切,能显著缓解术后疼痛应激,降低并发症发生风险及术后复发率,提高患者满意度。Objective:To investigate the effect of vacuum-assisted Mammotome minimally invasive surgery in the treatment of benign breast space occupying lesions.Methods:117 patients with benign breast lesions in our hospital from January 2018 to July 2019 were retrospectively selected.According to different treatment plans,they were divided into the observation group(n=61)and control group(n=56).The control group underwent para-areolar incision,and the observation group were performed vacuum-assisted Mammotome minimally invasive surgery in the breast.The incidence of complications,surgeries,patients’satisfaction,recurrence rate one year after surgery,and pain stress(such as PGE2 and SP levels)1 h,3 h and 6 h after surgery,were compared between the two groups.Results:The operation time and scar length of the observation group were shorter than those of the control group,and the treatment costs was higher than that of the control group(P<0.05);serum PGE2 and SP levels in the observation group were lower than those in the control group at 3 h and 6 h after operation(P<0.05);the incidence of postoperative hematoma in the observation group was lower than that of the control group(P<0.05);the satisfaction degree of patients in the observation group was higher than that of the control group(P<0.05);and the recurrence rate at 1 year after surgery of the observation group was lower than that of the control group(P<0.05).Conclusion:Vacuum-assisted Mammotome minimally invasive surgery is effective in treating benign breast space-occupying lesions,which can significantly relieve postoperative pain and stress,reduce the risk of complications and postoperative recurrence,and improve the degree of patient satisfaction.

关 键 词：乳腺真空辅助旋切术 乳腺良性占位性病变 患者满意度 

分 类 号：R737.9[医药卫生—肿瘤]