真空辅助乳腺微创旋切术治疗乳腺纤维瘤的效果及并发症观察  

Observation on the effect and complications of vacuum-assisted minimally invasive breast gyrotomy in the treatment of mammary fibroma

作　　者：向辉 贾晓斌[1] 全卫涛 Xiang Hui;Jia Xiaobin;Quan Weitao(Department of Breast and Thyroid Surgery,Shangluo Central Hospital,Shangluo Shaanxi Province 726000,China;Department of General Surgery,Shangluo Hospital of Traditional Chinese Medicine,Shangluo Shaanxi Province 726000,China)

机构地区：[1]商洛市中心医院乳腺甲状腺外科,陕西商洛726000 [2]商洛市中医医院普外科,陕西商洛726000

出　　处：《中华普外科手术学杂志（电子版）》2024年第5期528-530,共3页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：陕西省卫生健康科研基金项目(2022C001)。

摘　　要：目的:探究真空辅助乳腺微创旋切术治疗乳腺纤维瘤的临床疗效及并发症。方法:回顾性分析2021年1月至2023年10月期间105例乳腺纤维瘤患者的临床资料,根据不同术式分为观察组(真空辅助乳腺微创旋切术,n=55)和对照组(予以采取环乳晕切口术,n=50)。采用SPSS 22.0统计学软件分析,围手术期临床指标、瘢痕量表(VSS)情况等计量资料以(x±s)表示,采用独立样本t检验,进行组内不同时间点比较时,采用配对样本检验。术后并发症发生情况、乳晕区感觉神经功能恢复情况等计数资料采用χ^(2)检验。P<0.05表示差异有统计学意义。结果:观察组患者的手术时间、术中出血量、切口愈合时间、切口长度均显著低于对照组(P<0.05);术后1周时,观察组患者术后并发症发生率(1.8%)显著低于对照组(14.0%)(P<0.05)。在术后1周、1个月和3个月时,观察组患者VSS评分显著低于对照组(P<0.05)。术后3个月时,观察组患者乳晕区感觉神经功能正常率显著高于对照组(P<0.05)。结论:真空辅助乳腺微创旋切术治疗乳腺纤维瘤不仅降低术后并发症,还加快瘢痕的愈合和乳晕区感觉神经功能的恢复。Objective:To explore the clinical efficacy and complications of vacuum-assisted minimally invasive breast gyrotomy in the treatment of mammary fibroma.Methods:The clinical data of 105 patients with breast fibroma from January 2021 to October 2023 were retrospectively analyzed and divided into observation group(vacuum-assisted minimally invasive breast gyrotomy,n=55)and control group(circumareolar incision,n=50)according to different surgical methods.Statistical software SPSS 22.0 was used for analysis.Perioperative clinical indicators,scar scale(VSS)and other measurement data were presented with(x±s).Independent sample t test was used.The incidence of postoperative complications and the recovery of sensory nerve function in areola were measured byχ^(2) test.P<0.05 indicated that the difference was statistically significant.Results:The operative time,intraoperative blood loss,incision healing time and incision length in observation group were significantly lower than those in control group(P<0.05).One week after surgery,the incidence of postoperative complications in observation group(1.8%)was significantly lower than that in control group(14.0%)(P<0.05).At 1 week,1 month and 3 months after operation,the VSS score of observation group was significantly lower than that of control group(P<0.05).At 3 months after operation,the normal rate of sensory nerve function in the areolar region in observation group was significantly higher than that in control group(P<0.05).Conclusion:Vacuum-assisted minimally invasive breast gyrotomy for the treatment of breast fibroma not only reduces postoperative complications,but also accelerates scar healing and the recovery of sensory nerve function in areola region.

关 键 词：乳腺纤维瘤 真空辅助乳腺微创旋切术 并发症 

分 类 号：R737.9[医药卫生—肿瘤]