真空辅助微创旋切术与传统开放手术治疗乳腺良性肿瘤的效果比较  

Comparison of Efficacy of Vacuum-assisted Minimally Invasive Gyrotomy with Traditional Open Surgery in the Treatment of Benign Breast Tumors

作　　者：王保云 张凯 张道全[1] 石海洲[1] Wang Baoyun;Zhang Kai;Zhang Daoquan;Shi Haizhou(Department of Thyroid and Breast Surgery,Binzhou Central Hospital,Binzhou 251700,Shandong Province,China)

机构地区：[1]滨州市中心医院甲状腺乳腺外科,山东滨州251700

出　　处：《中国社区医师》2024年第2期28-30,共3页Chinese Community Doctors

摘　　要：目的:比较真空辅助微创旋切术与传统开放手术治疗乳腺良性肿瘤的效果。方法:选取2021年6月—2022年5月滨州市中心医院收治的200例乳腺良性肿瘤患者作为研究对象,采用随机数字表法分为研究组和对照组,各100例。对照组接受传统开放手术治疗,研究组接受真空辅助微创旋切术治疗。比较两组治疗效果。结果:研究组手术时间、住院时间、切口长度短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。治疗前,两组躯体功能、心理功能、社会功能、物质生活评分比较,差异无统计学意义(P>0.05);治疗后,两组躯体功能、心理功能、社会功能、物质生活评分高于治疗前,且研究组高于对照组,差异有统计学意义(P<0.05)。研究组治疗满意度高于对照组,差异有统计学意义(P=0.011)。研究组并发症发生率低于对照组,差异有统计学意义(P=0.014)。结论:与传统开放手术相比,真空辅助微创旋切术治疗乳腺良性肿瘤的效果更优,可减少术中出血量,缩短切口长度,促进术后康复,改善患者生活质量,提高患者满意度,降低并发症发生率。Objective:To compare the efficacy of vacuum-assisted minimally invasive gyrotomy with traditional open surgery in the treatment of benign breast tumors.Methods:A total of 200 patients with benign breast tumors admitted to Binzhou Central Hospital from June 2021 to May 2022 were selected as the study objects and divided into study group and control group by random number table method,with 100 patients in each group.The control group received traditional open surgery and the study group received vacuum-assisted minimally invasive gyrotomy.The therapeutic effect of the two groups was compared.Results:The operation time,hospital stay and incision length of the study group were shorter than those of the control group,and the amount of intraoperative blood loss was less than that of the control group,the difference was statistically significant (P<0.05).Before treatment,there was no significant difference in physical function,psychological function,social function and material life scores between the two groups (P>0.05);After treatment,the scores of physical function,psychological function,social function and material life of the two groups were higher than before treatment,and the study group was higher than the control group,the difference was statistically significant (P<0.05).The treatment satisfaction of the study group was higher than that of the control group,and the difference was statistically significant (P=0.011).The complication rate of the study group was lower than that of the control group,and the difference was statistically significant (P=0.014).Conclusion:Compared with traditional open surgery,vacuum-assisted minimally invasive gyrotomy is more effective in the treatment of benign breast tumors,which can reduce intraoperative blood loss,shorten incision length,promote postoperative rehabilitation,improve patients'quality of life,increase patient satisfaction,and reduce the incidence of complications.

关 键 词：真空辅助微创旋切术 传统开放手术 乳腺良性肿瘤 

分 类 号：R737.9[医药卫生—肿瘤]