巴德旋切系统治疗乳腺良性小病灶患者的近期临床效果及对乳房外观的影响  

The Short-Term Clinical Effect of Mammotome System in the Treatment of Patients with Benign Small Breast Lesions and Its Effect on Breast Appearance

作　　者：王平 Wang Ping(Department of General Surgery,The Traditional Chinese Medicine Hospital of Wuqing,Tianjin 301700,China)

机构地区：[1]天津市武清区中医医院普外科,天津301700

出　　处：《医疗装备》2022年第5期115-119,共5页Medical Equipment

摘　　要：目的探讨巴德(MMT)旋切系统治疗乳腺良性小病灶的近期临床效果及对乳房外观的影响。方法选取2017年10月至2020年10月医院收治的乳腺良性小病灶患者112例,采用随机数字表法将其分为对照组和试验组,每组56例。对照组应用常规切口手术治疗,试验组应用MMT旋切系统微创手术治疗,统计分析两组手术切除情况,比较两组疼痛程度[视觉模拟评分法(VAS)评分]、手术情况(平均手术时间、平均住院时间及平均术中出血量)、安全性(并发症发生率及误切率)、乳房外观(乳房形状、色素沉着、切口瘢痕及乳头乳晕感觉)及满意度。结果两组均顺利完成手术,切除乳腺小病灶共235个,术后病理结果提示,良性小病灶230个、乳腺癌5个。两组术中VAS评分均<3分,且两组术中平均VAS评分比较,差异无统计学意义(P>0.05)。试验组平均手术时间、平均住院时间均短于对照组,平均术中出血量少于对照组,差异均有统计学意义(P<0.05)。两组并发症发生率、误切率比较,差异均无统计学意义(P>0.05)。随访6个月,试验组乳房形状、色素沉着、切口瘢痕、乳头乳晕感觉4个维度评分均高于对照组,差异均有统计学意义(P<0.05)。试验组满意度高于对照组,差异有统计学意义(P<0.05)。结论MMT旋切系统微创手术治疗乳腺良性小病灶患者的近期临床效果显著,相较于常规切口手术,切口较小,可加快康复进程,改善乳房外观,且不会增加并发症发生风险,患者满意度较高。Objective The short-term clinical effect of Mammotome(MMT)system in the treatment of patients with benign small breast lesions and its effect on breast appearance were explored.Methods A total of 112 patients with benign small breast lesions admitted to the hospital from October 2017 to October 2020 were enrolled in the study.They were randomly divided into a control group and an experiment group,with 56 cases in each group.Patients in the control group were treated with conventional incision surgery,and patients in the experiment group were treated with minimally invasive surgery with the MMT system.The surgical resection conditions of the two groups were recorded and analyzed.The degree of intraoperative pain[visual analogue scale(VAS)scores],surgical conditions(the average operation time,average hospitalization time and average intraoperative blood loss),safety(complications and miscuts),breast appearance(breast shape,pigmentation,incision scar and feels of nipple areola)and satisfaction rate were compared between the two groups.Results All the 112 patients underwent surgery successfully,and 235 small breast lesions were removed.The pathological results showed that there were 230 benign small lesions and 5 breast cancers.The intraoperative VAS scores of the two groups were less than 3 points.There was no significant difference in the average intraoperative VAS scores between the two groups(P>0.05).The average operation time and average hospitalization time of the patients in the experiment group were shorter than those in the control group,and the average intraoperative blood loss in the experiment group was less than that in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of complications and miscut rate between the two groups(P>0.05).After 6 months of follow-up,the scores of four dimensions of breast shape,pigmentation,incision scar and feels of nipple areola in the experiment group were higher than those in the control group,w

关 键 词：巴德旋切系统 乳腺良性小病灶 疗效 乳房外观 

分 类 号：R737.9[医药卫生—肿瘤]