乳腺纤维瘤切除术中切口缝合不同方法的效果比较  

Comparison of the effects of different methods for incision suture in resection of breast fibroma

作　　者：孙勇 郭兵 李凤 SUN Yong;GUO Bing;LI Feng(Department of Oncological Surgery,Hefei Cancer Hospital,Chinese Academy of Sciences,Hefei,Anhui 230001,China)

机构地区：[1]中国科学院合肥肿瘤医院肿瘤外科,安徽合肥230001

出　　处：《安徽医药》2023年第12期2490-2493,共4页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨乳腺纤维瘤切除术中不同切口缝合方法的效果比较。方法回顾性选取中国科学院合肥肿瘤医院2018年1月至2020年12月收治的70例行乳腺纤维瘤切除术病人作为研究对象,采用乳腺纤维瘤切除术后不予缝合腺体35例为观察组;采用传统缝合腺体方法处理35例为对照组。比较两组病人手术情况、疼痛评分、拆线时间、瘢痕情况、乳房美观情况。结果观察组手术所需时间(20.36±5.14)min短于对照组(27.13±4.68)min(P<0.05);观察组与对照组手术出血量、住院天数相比较,差异无统计学意义(P>0.05);观察组视觉模拟评分法(VAS)评分(1.36±0.96)分低于对照组(5.13±1.08)分,拆线时间(5.36±1.17)d少于对照组(8.40±1.58)d(P<0.05);观察组瘢痕Ⅰ级29例、Ⅱ级4例、Ⅲ级2例、Ⅳ级0例,对照组Ⅰ级10例、Ⅱ级11例、Ⅲ级10例、Ⅳ级4例,观察组瘢痕Ⅰ级多于对照组,瘢痕Ⅱ级、Ⅲ级均少于对照组(P<0.05);观察组术后血肿、感染总发生率2.85%低于对照组22.86%(P<0.05);观察组乳房美观优良率100.00%高于对照组77.14%(P<0.05)。结论乳腺纤维瘤切除术后腺体不予缝合,有效缩短手术时间,降低术后疼痛感,降低并发症的发生率,减轻术后瘢痕发生情况,改善乳房美观,值得临床推广使用。Objective To compare the effects of different methods for incision suture in breast fibroma resection.Methods A total of 70 cases of breast fibroma resection treated in Hefei Cancer Hospital,Chinese Academy of Sciences from January 2018 to December 2020 were retrospectively selected as the research objects.The observation group included 35 cases without suturing glands after breast fibroma resection,and 35 cases treated with the traditional method of suturing glands were included as the control group.The operation conditions,pain score,suture removal time,scar and breast aesthetics were compared between the two groups.Results The operation time of the observation group was shorter than that of the control group[(20.36±5.14)min vs.(27.13±4.68)min,P<0.05].There were no significant differences in blood loss and hospital stay between the observation group and the control group(P>0.05).The visual analog scale(VAS)score of the patients in the observation group was lower than that in the control group[(1.36±0.96)vs.(5.13±1.08)],and the suture removal time was shorter than that in the control group[(5.36±1.17)d vs.(8.40±1.58)d,P<0.05].There were 29 patients with grade Ⅰ scar,4 patients with grade Ⅱ scar,2 patients with grade Ⅲ scar,0 patients with grade Ⅳ scar in the observation group,and 10 patients with grade Ⅰ scar,11 patients with grade Ⅱ scar,10 patients with grade Ⅲ scar and 4 patients with grade Ⅳ scar in the control group.Grade Ⅰ scar in the observation group outnumbered the control group,and the numbers of grade Ⅱ scar and grade Ⅲ scar were fewer than those in the control group(P<0.05).The overall incidence of postoperative hematoma and infection in the observation group was lower than that in the control group(2.85%vs.22.86%,P<0.05).The rate of breast aesthetics in the observation group was higher than that in the control group(100.00%vs.77.14%,P<0.05).Conclusions The glands are not sutured after breast fibroma resection,which can effectively shorten the operation time,reduce postope

关 键 词：乳房切除术 伤口缝合技术 纤维瘤 乳腺肿瘤 疼痛 手术后 乳房美观 瘢痕情况 

分 类 号：R737.9[医药卫生—肿瘤]