经腋窝单孔腔镜术治疗长径>3 cm乳房良性肿物的临床观察  

Therapeutic effect of trans-axillary single-port endoscopic surgery on benign breast masses greater than 3 cm in major diameter

作　　者：张永辉 李智 陈明溪 曾丽红 李雪莲 李可嘉 郝军生 杨志光 Zhang Yonghui;Li Zhi;Chen Mingxi;Zeng Lihong;Li Xuelian;Li Kejia;Hao Junsheng;Yang Zhiguang(Department of Surgery,Xi’an Hospital of Traditional Chinese Medicine,Xi’an 710021,China;Department of Breast and Thyroid Surgery,Xi’an North Hospital,Xi’an 710032,China)

机构地区：[1]西安市中医医院外科,西安710021 [2]西安市北方医院甲乳外科,西安710032

出　　处：《中国实用医刊》2024年第4期5-9,共5页Chinese Journal of Practical Medicine

基　　金：陕西省重点研发计划项目(2021SF-395)。

摘　　要：目的探讨经腋窝单孔腔镜术治疗长径>3 cm乳房良性肿物的临床效果。方法回顾性抽取2020年8月至2023年5月西安市中医医院收治的乳房良性肿物长径>3 cm无法行微创旋切手术的女性患者88例,依据手术方案分为单孔腔镜组(45例,行经腋窝入路单孔腔镜术)和乳房切口组(43例,行传统乳房开口手术)。比较两组围术期指标、术后并发症、局部复发情况及术后乳房美容效果(五项四步评分系统评分)。结果单孔腔镜组切口长度短于乳房开口组,全身麻醉例数多于乳房开口组,手术时间与住院时间长于乳房开口组,差异有统计学意义(P<0.05)。术后3个月,单孔腔镜组五项四步评分系统总分高于乳房切口组(P<0.05)。两组术后并发症发生率比较差异未见统计学意义(P>0.05)。两组均未见局部病变复发。结论经腋窝单孔腔镜术治疗长径>3 cm乳房良性肿物安全有效,可作为有乳房美容需求患者的优选术式。Objective To investigate the effect of trans-axillary single-port endoscopic surgery in the treatment of benign breast masses greater than 3 cm in major diameter.Methods A total of 88 women with benign breast masses greater than 3 cm in major diameter and unable to undergo minimally invasive circumcision surgery who were admitted to Xi’an Hospital of Traditional Chinese Medicine from August 2020 to May 2023 were selected retrospectively.They were divided into the single-port endoscopic group(45 cases,treated by trans-axillary single-port endoscopic surgery)and the breast incision group(43 cases,treated by traditional breast incision surgery)according to surgical methods.The perioperative indicators,postoperative complications,local recurrence,and postoperative breast cosmetic effects evaluated by five-item-by-four-step scoring system were compared between the two groups.Results The single-port endoscopic group required shorter length of cut,longer operation time,longer hospital stay,and had more cases with general anesthesia compared with the breast incision group(P<0.05).Three months after operation,the total score of the five-item-by-four-step scoring system in the single-port endoscopic group was higher than that in the breast incision group(P<0.05).There was no significant difference in the incidence of postoperative complication between the two groups(P>0.05).Neither group had any local recurrence.Conclusions Trans-axillary single-port endoscopic surgery for benign breast masses greater than 3 cm in major diameter is a safe and effective,which could be the optimal surgery for patients.

关 键 词：乳房 良性肿物 单孔 腔镜手术 

分 类 号：R655.8[医药卫生—外科学]