摘要
目的分析经腋前线单切口腔镜辅助乳腺手术(VABS)在乳腺纤维瘤患者中的可行性及安全性。方法选取2014年5月至2015年5月在广东省东莞市常平医院接受治疗的乳腺纤维瘤患者71例,按照患者的意愿,分为观察组(38例)和对照组(33例)。观察组进行经腋前线VABS,对照组进行常规的经乳晕切口手术治疗。比较两组的手术时间、术中出血量、切口长度、切口-病灶远端距离、住院时间、手术并发症的发生率,以观察组手术时间作为应变量并以观察组病灶大小和切口-病灶远端距离为自变量进行多元相关分析。结果观察组的术中出血量、切口-病灶远端距离与对照组比较,差异有统计学意义(P<0.05);两组的手术时间、切口长度和住院时间比较,差异无统计学意义(P>0.05);两组均未发生皮下瘀斑、血肿、皮下积液和切口红肿等并发症,多元相关分析显示手术时间与病灶大小和切口-病灶远端距离呈正相关(R2=0.821,P<0.05)。结论经腋前线VABS治疗乳腺纤维腺瘤患者安全可靠,其手术难度与病灶大小和切口-病灶远端距离有关,值得在临床上推广应用。
Objective To analysis the feasibility and safety of video-assisted breast surgery （VABS） in the patients with mammary gland fibroma. Methods 71 patients with mammary gland fibroma in our hospital from May 2014 to May 2015 were selected and be divided into the observation group （ n = 3S ） and the control group （ n =33） according to the patients ’ aspiration. The patients of the observation group were given VABS for treatment, the patients of the control group were given areola incision surgery for conventional treatment. Comparison of two groups of patients with operation time, intraoperative blood loss, length of incision, increase of remote distance and hospitalization time, incision to lesions, compared two groups of patients the incidence of complications, in observation group of patients with operation time as a de-pendent variable （y） and to observe group lesions in patients with lesions （x l ） and incision -size distance （x2） called the independent variable for multiple correlation analysis. Results Observation group of pa-tients with operation time, intraoperative blood loss, length of incision, increase of remote distance and hos-pitalization time, incision to lesions were significantly better than the control group patients （P 〈0.05） , two groups of patients were no subcutaneous ecchymosis, hematoma, subcutaneous effusion and incision compli-cations such as inflammation （ P 〉 0.05 ） , multiple correlation analysis showed that the operation time was positively correlated with the size of lesions and incision -focal distance （ R2 =0. 821 , P 〈 0.05 ）. Conclusions Via the axillary front VABS surgery in patients with breast fibroadenoma safe and reliable, the operation difficulty associated with lesion size and cut -focal distance, is worth popularization and application in clinic.
出处
《中华腔镜外科杂志（电子版）》
2016年第3期180-182,共3页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
