不同手术切口方式在乳腺癌根治术中的应用价值  

Application Value of Radical Mastectomy for Breast Cancer with Different Surgical Incisions

作　　者：潘文杰 李生学 黄居耀 PAN Wenjie;LI Shengxue;HUANG Juyao(Youxi County General Hospital,Youxi 365100,China;不详)

机构地区：[1]尤溪县总医院,福建尤溪365100

出　　处：《中外医学研究》2024年第4期108-111,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:研究不同手术切口方式对乳腺癌根治术临床疗效的影响。方法:选取2020年5月—2022年5月在尤溪县总医院普外科就诊的82例乳腺癌患者,按随机数表法分为试验组和对照组,各41例。对照组采用Halsted-Meyer纵切口根治术治疗,试验组采用Stewart横切口根治术治疗。比较两组手术指标、生活质量、心理情绪及并发症发生率。结果:试验组术后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。试验组切口长度短于对照组,术中出血量少于对照组,手术时间和住院时间均短于对照组,差异有统计学意义(P<0.05)。治疗后,两组乳腺癌生活质量问卷(QLQ-BR23)中功能评分、症状评分及总评分均低于治疗前,且试验组均低于对照组,差异有统计学意义(P<0.05)。治疗后,两组焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分均低于治疗前,且试验组均低于对照组,差异有统计学意义(P<0.05)。结论:相比Halsted-Meyer纵切口,Stewart横切口行乳腺癌根治术的术后并发症发生率更低,手术出血量更低,手术和住院时间更少,患者生活质量更好,心理情绪更健康。Objective:To study the effect of different surgical incision methods on the clinical curative effect of radical mastectomy.Method:A total of 82 breast cancer patients treated in the General Surgery Department of Youxi County General Hospital from May 2020 to May 2022 were selected and divided into experimental group and control group according to random number table method,with 41 cases in each group.The control group was treated by Halsted-Meyer longitudinal incision radical resection,and the experimental group was treated by Stewart transverse incision radical resection.The operative indexes,quality of life,psychological emotion and complication rate were compared between the two groups.Result:The total incidence of postoperative complications in experimental group was lower than that in control group,and the difference was statistically significant(P<0.05).The incision length of the experimental group was shorter than that of the control group,the amount of intraoperative blood loss was shorter than that of the control group,and the operation time and hospital stay were shorter than those of the control group,the differences were statistically significant(P<0.05).After treatment,the functional score,symptom score and total scores of quality of life questionnaire of breast cancer-23(QLQBR23)in two groups were lower than those before treatment,and the scores in the experimental group were lower than those in the control group,the differences were statistically significant(P<0.05).After treatment,the scores of self-rating anxiety scale(SAS)and selfrating depression scale(SDS)in both groups were lower than those before treatment,and the scores in the experimental group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Compared with the Halsted-Meyer longitudinal incision,radical mastectomy with Stewart transverse resulted in a lower incidence of postoperative complications,less surgical bleeding,less operation and hospital stay,better quality of life,and b

关 键 词：乳腺癌 根治术 横切口 纵切口 疗效 生活质量 心理 

分 类 号：R737.9[医药卫生—肿瘤]