乳腺微创旋切术在肉芽肿性乳腺炎治疗中的疗效评估  

Evaluation of the Therapeutic Effect of Minimally Invasive Breast Circumcision in the Treatment of Granulomatous Mastitis

作　　者：林奕星 王俊潇 林其声[1] LIN Yixing;WANG Junxiao;LIN Qisheng(Department of General Surgery in the First District,Sanming Second Hospital,Sanming,Fujian,366000,China)

机构地区：[1]三明市第二医院普外一区,福建三明366000

出　　处：《中外医疗》2024年第35期1-4,35,共5页China & Foreign Medical Treatment

基　　金：福建中医药大学校管课科研课题项目(XB2022169)。

摘　　要：目的探讨肉芽肿性乳腺炎(granulomatous mastitis,GM)采用乳腺微创旋切术治疗的疗效。方法随机选取2021年8月—2024年4月三明市第二医院收治的120例GM患者为研究对象,根据不同治疗方法分成对照组(n=60)和研究组(n=60),对照组给予传统开放手术治疗,研究组给予乳腺微创旋切术治疗,比较两组围手术期指标、疼痛程度、乳房外观美容评分、应激反应指标、并发症。结果研究组患者的切口长度、手术耗时、切口愈合时间与住院天数均短于对照组,且术中出血量低于对照组,差异均有统计学意义(P均<0.05)。术后3 d与术后7 d疼痛视觉模拟评分法评分均低于术后1 d,且研究组3个时间点的疼痛评分均低于对照组,差异均有统计学意义(P均<0.05)。研究组乳房外观美容评分各维度均高于对照组,差异均有统计学意义(P均<0.05)。两组患者术前的皮质醇、去甲肾上腺素水平结果相近,差异均无统计学意义(P均>0.05);术后两组患者的皮质醇、去甲肾上腺素水平均低于术前,且研究组低于对照组,差异均有统计学意义(P均<0.05)。研究组并发症发生率为1.67%(1/60),低于对照组的13.33%(8/60),差异有统计学意义(χ^(2)=4.324,P<0.05)。结论乳腺微创旋切术应用于GM患者治疗中,能够改善围手术期指标,缓解疼痛程度,提高乳房外观美容效果,对应激反应影响较小,减少并发症发生。Objective To explore the efficacy of minimally invasive breast circumcision in the treatment of granulomatous mastitis(GM).Methods A total of 120 GM patients admitted to Sanming Second Hospital from August 2021 to April 2024 were randomly selected as the study objects.According to different treatment methods,they were divided into the control group(n=60)and the study group(n=60).The control group was treated with traditional open surgery,while the study group was treated with minimally invasive breast circumcision.The perioperative indicators,pain levels,breast appearance cosmesis scores,stress response indicators,and complications were compared between the two groups.Results The incision length,operation time,incision healing time,and hospitalization time of the patients in the study group were all shorter than those in the control group,and the intraoperative blood loss was lower than that in the control group,and the differences were statistically significant(all P<0.05).The scores of the Visual Analogue Scale for pain on the 3rd and 7th days after surgery were both lower than those on the 1st day after surgery,and the pain scores of the study group at all three time points were lower than those of the control group,and the differences were statistically significant(all P<0.05).Each dimension of the breast appearance cosmesis score of the study group was higher than that of the control group,and the differences were statistically significant(all P<0.05).The levels of cortisol and norepinephrine of the two groups of patients before surgery were similar,and the differences were statistically significant(both P>0.05);after surgery,the levels of cortisol and norepinephrine of the patients were both lower than those before surgery,and those of the study group were lower than those of the control group,and the differences were statistically significant(all P<0.05).The incidence of complications in the study group was 1.67%(1/60),which was lower than that in the control group 13.33%(8/60),and the difference was stati

关 键 词：乳腺微创旋切术 肉芽肿性乳腺炎 疗效 

分 类 号：R655.8[医药卫生—外科学]