内窥镜下超声刀与电刀辅助假体隆乳术的临床疗效对比  

Comparison of Clinical Efficacy of Ultrasonic Knife Separation and Electric Knife Separation in Endoscope-assisted Breast Augmentation Surgery

作　　者：杨瑞国 仝晓 YANG Ruiguo;TONG Xiao(Department of Cosmetic Surgery,Jinshui Angelun Aesthetic Medicine Outpatient Department,Zhengzhou 450000,Henan,China;Department of Plastic Surgery,Zhengzhou Xingzhi Meige Aesthetic Medicine Hospital,Zhengzhou 450000,Henan,China)

机构地区：[1]金水安格润医疗美容门诊部美容外科,河南郑州450000 [2]郑州星帜美歌医疗美容医院整形外科,河南郑州450000

出　　处：《中国美容医学》2024年第10期101-104,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:分析对比内窥镜下超声刀与电刀辅助假体隆乳术的临床疗效。方法:选择2021年8月-2023年2月预在笔者医院进行内窥镜辅助假体隆乳术的女性就医者300例,依据随机数字表法分为对照组和研究组各150例。对照组采用电刀分离腔隙,研究组采用超声刀分离腔隙。手术相关指标、临床疗效、炎症因子水平及就医者满意度。结果:研究组全程手术用时及住院时间均短于对照组(P<0.05),术中出血量、术后第1、2天24 h单侧引流量均少于对照组(P<0.05),术后第1天VAS评分低于对照组(P<0.05)。术后1 d,两组C反应蛋白、白细胞介素-6均高于术前(P<0.05),但研究组低于对照组(P<0.05)。术后4周,研究组临床疗效优良率为97.33%,高于对照组的85.33%(P<0.05),研究组就医者满意度为97.33%,高于对照组的92.00%(P<0.05)。结论:与电刀分离相较,采用超声刀分离更利于提升内窥镜辅助假体隆乳术的临床疗效,缩短全程手术用时、住院时间,减少术中出血量、引流量,降低疼痛程度、炎症反应,且就医者满意度高。Objective To analyze and compare the clinical efficacy of ultrasonic knife separation and electric knife separation in endoscope-assisted breast augmentation surgery.Methods A total of 300 female patients who planned to undergo endoscopeassisted breast augmentation in our hospital from August 2021 to February 2023 were selected and divided into the control group and the study group according to the random number table method,with 150 cases in each group.The control group used electric knife to separate the cavity,and the study group used ultrasonic knife to separate the cavity.Surgery-related indicators,clinical efficacy,inflammatory factor levels and patient satisfaction.Results The total operation time and hospitalization time of the study group were shorter than those of the control group(P<0.05),the intraoperative blood loss,24 h unilateral drainage volume on the first and second days after operation were less than those of the control group(P<0.05),and the VAS score on the first day after operation was lower than that of the control group(P<0.05).At 1 day after operation,C-reactive protein and interleukin-6 in the two groups were higher than those before operation(P<0.05),but those in the study group were lower than those in the control group(P<0.05).Four weeks after operation,the excellent and good rate of clinical efficacy in the study group was 97.33%,which was higher than 85.33%in the control group(P<0.05).The satisfaction of patients in the study group was 97.33%,which was higher than 92.00%in the control group(P<0.05).Conclusion Compared with electric knife separation,using ultrasonic knife separation is more conducive to improving the clinical efficacy of endoscope-assisted breast augmentation surgery,shortening the entire surgical time and hospitalization time,reducing intraoperative bleeding and drainage volume,reducing pain and inflammatory reactions,and achieving high satisfaction.

关 键 词：超声刀 电刀分离 内窥镜 假体隆乳术 临床疗效 满意度 

分 类 号：R730.56[医药卫生—肿瘤]