微创旋切手术治疗对良性乳腺肿物患者局部复发、乳房外观优良率及免疫功能指标的影响  

Effect of Minimally Invasive Rotational Surgery Treatment on Local Re⁃currence,Excellent Breast Appearance Rate and Immune Function Index in Patients with Benign Breast Masses

作　　者：王进胜 何清安 陈佳毅 肖毅敏 陈伟城 翁晓源 WANG Jinsheng;HE Qingan;CHEN Jiayi;XIAO Yimin;CHEN Weicheng;WENG Xiaoyuan(Department of Thoracic Surgery,People's Hospital Affiliated to Quanzhou Medical College,Quanzhou,Fujian Prov-ince,362000 China;School of Clinical Medicine,Quanzhou Medical College,Quanzhou,Fujian Province,362000China)

机构地区：[1]泉州医学高等专科学校附属人民医院胸外科,福建泉州362000 [2]泉州医学高等专科学校临床医学院,福建泉州362000

出　　处：《中外医疗》2022年第32期23-26,共4页China & Foreign Medical Treatment

基　　金：泉州市卫生领域科技计划项目(2021N152S);泉州医学高等专科学校校级青年科技课题(XJK2008B)。

摘　　要：目的 分析微创旋切手术治疗对良性乳腺肿物患者局部复发、乳房外观优良率及免疫功能指标的影响。方法 方便选取2018年1月—2020年12月泉州医学高等专科学校附属人民医院收治的202例良性乳腺肿物患者作为研究对象,按照不同手术治疗方案分为研究组、对照组,各101例。对照组行传统手术切除,研究组行微创旋切手术。对比两组手术效果。结果 研究组切口长度(4.7±0.7)mm、手术时间(17.2±3.6)min、术中出血量(15.6±2.7)mL、术后VAS评分(2.9±0.5)分、术后住院时间(3.1±0.9)d均低于对照组(44.1±3.6)mm、(29.9±4.8)min、(27.8±3.8)mL、(4.8±1.2)分、(6.8±1.4)d,差异有统计学意义(t=107.968、21.272、25.009、14.688、22.342,P<0.05);研究组各项免疫指标均优于对照组,差异有统计学意义(P<0.05);研究组术后局部复发率0.00%、并发症发生率1.98%均低于对照组7.92%、13.86%,差异有统计学意义(χ^(2)=6.378、9.774,P<0.05);研究组乳房外观优良率(97.03%)高于对照组(82.18%),差异有统计学意义(χ^(2)=11.957,P<0.05)。结论 微创旋切手术耗时短、对机体功能干扰少,有效保护机体免疫功能,术后乳房外观美观度高,局部复发率低。Objective To analyze the effects of minimally invasive rotational surgery treatment on local recurrence,ex⁃cellent breast appearance rate and immune function indexes in patients with benign breast masses.Methods A total of 202 patients with benign breast masses admitted to People's Hospital Affiliated to Quanzhou Medical College from January 2018 to December 2020 were conveniently selected as the research object and divided into in the study group and control group according to different surgical treatment protocols,with 101 cases in each group.The control group underwent traditional surgical excision and the study group underwent minimally invasive rotational excision,and the surgical results of the two groups were compared.Results The incision length(4.7±0.7)mm,operation time(17.2±3.6)min,intraoperative bleeding(15.6±2.7)mL,postoperative VAS score(2.9±0.5)points,and postoperative hospital stay(3.1±0.9)d in the study group were lower than those in the control group(44.1±3.6)mm,(29.9±4.8)min,(27.8±3.8)mL,(4.8±1.2)points,(6.8±1.4)d,the difference was statistically significant(t=107.968,21.272,25.009,14.688,22.342,P<0.05);all immune indexes in the study group were better than those in the control group,the differ⁃ence was statistically significant(P<0.05);the postoperative local recurrence rate(0.00%)and complication rate(1.98%)were lower than those of the control group(7.92%)and(13.86%),the difference was statistically significant(χ^(2)=6.378,9.774,P<0.05);the excellent breast appearance rate of the study group(97.03%)was higher than that of the control group(82.18%),the difference was statistically significant(χ^(2)=11.957,P<0.05).Conclusion Minimally in⁃vasive rotational surgery takes less time,interferes less with body functions,effectively protects the body's immune function,has a high aesthetic appearance of the breast after surgery,and has a low local recurrence rate.

关 键 词：乳房外观优良率 微创旋切手术 免疫功能 良性乳腺肿物 局部复发 

分 类 号：R655[医药卫生—外科学]