乳腺微创旋切术与传统开放术对乳腺良性肿块术后疼痛、瘢痕及并发症的影响  

Effect of Minimally Invasive Breast Rotary Cutting and Traditional Open Surgery on Postoperative Pain,Scar and Complications of Benign Breast Masses

作　　者：蔡庆明[1] 郑伟伟 CAI Qingming;ZHENG Weiwei(The Third Department of Surgery,Yifeng County People's Hospital,Yifeng 336300,Jiangxi,China;the First Department of Surgery,Yifeng County People's Hospital,Yifeng 336300,Jiangxi,China)

机构地区：[1]宜丰县人民医院外三科,江西宜丰336300 [2]宜丰县人民医院外一科,江西宜丰336300

出　　处：《医学信息》2024年第22期58-61,69,共5页Journal of Medical Information

摘　　要：目的比较乳腺微创旋切术与传统开放术对乳腺良性肿块患者术后疼痛、瘢痕及并发症的影响。方法选取2020年1月-2023年7月宜丰县人民医院收治的乳腺良性肿块患者60例作为研究对象,按照随机数字表法将所有患者分为对照组和研究组,每组30例。对照组应用传统开放术治疗,研究组应用乳腺微创旋切术治疗。比较两组乳房美观性、手术情况(手术时长、自主活动时间、术后24 h疼痛评分、术后48 h疼痛评分、乳房瘢痕)、术后并发症发生率、炎症因子水平[白细胞介素-10(IL-10)、干扰素-γ(INF-γ)、血清C反应蛋白(CRP)]。结果研究组乳房美观性优良率为93.33%,高于对照组的76.67%(P<0.05);研究组手术时长、自主活动时间短于对照组,术后24 h疼痛评分、术后48 h疼痛评分、乳房瘢痕评分均低于对照组(P<0.05);研究组术后并发症发生率低于对照组(P<0.05);两组术后血清IL-10、CRP水平较术前升高,且研究组低于对照组(P<0.05);两组术后血清INF-γ水平较术前降低,且研究组水平高于对照组(P<0.05)。结论乳腺微创旋切术能够减轻乳腺良性肿块患者术后疼痛,改善患者乳房美观性,降低术后并发症发生率和炎性反应,患者术后康复速度更快,值得临床应用。Objective To compare the effects of minimally invasive breast rotary cutting and traditional open surgery on postoperative pain,scar and complications in patients with benign breast masses.Methods A total of 60 patients with benign breast masses admitted to Yifeng County People's Hospital from January 2020 to July 2023 were selected as the research objects.According to the random number table method,all patients were analyzed in the control group and the study group,with 30 patients in each group.The control group was treated with traditional open surgery,and the study group was treated with minimally invasive breast rotary cutting.The breast aesthetics,surgical conditions(operation time,spontaneous activity time,postoperative 24 h pain score,postoperative 48 h pain score,breast scar),incidence of postoperative complications,levels of inflammatory factors[interleukin-10(IL-10),interferon-γ(INF-γ),serum C-reactive protein(CRP)]were compared between the two groups.Results The excellent and good rate of breast aesthetics in the study group was 93.33%,which was higher than 76.67%in the control group(P<0.05).The operation time and spontaneous activity time of the study group were shorter than those of the control group,and the pain score at 24 h after operation,the pain score at 48 h after operation and the breast scar score were lower than those of the control group(P<0.05).The incidence of postoperative complications in the study group was lower than that in the control group(P<0.05).The levels of serum IL-10 and CRP in the two groups after operation were higher than those before operation,and those in the study group were lower than those in the control group(P<0.05).The serum INF-γlevel of the two groups after operation was lower than that before operation,and that of the study group was higher than that of the control group(P<0.05).Conclusion Minimally invasive breast rotary cutting can reduce postoperative pain in patients with benign breast masses,improve breast aesthetics,reduce the incidence of postoperati

关 键 词：乳腺微创旋切术 传统开放术 乳腺良性肿块 

分 类 号：R655.8[医药卫生—外科学]