摘要
目的探讨应用微创旋切术治疗乳腺良性肿瘤患者的临床疗效、应激反应指标变化及复发观察情况。方法回顾性分析2014年1月至2017年6月我院诊治的乳腺良性肿瘤患者248例,随机分配为观察组与对照组,每组各124例。观察组选用微创旋切术治疗,对照组选用传统开放切除术治疗。对比两组患者术中及术中各项参数、术中应激反应指标、术后美观程度、术后并发症及复发情况等项目。结果观察组手术时间较短、术中出血量较少、术后瘢痕较小,术后1周应激反应指标低于对照组,术后美观程度评价优于对照组,术后并发症发生率低于对照组,差异有统计学意义(P<0. 05);术后1年复发情况与对照组比较差异无统计学意义(P>0. 05)。结论采用微创旋切术治疗乳腺良性肿瘤患者临床疗效较好,缩短手术及住院时间,减少应激反应,提升手术美观程度,值得临床继续借鉴并推广。
Objective To investigate the clinical effect,stress response index and recurrence of patients with benign breast tumor treated by minimally invasive rotation. Methods From January 2014 to June 2017,248 cases of benign breast tumor in our hospital were retrospectively analyzed.The patients were randomly divided into observation group and control group with 124 cases in each group.The observation group was treated with minimally invasive rotary resection and the control group with traditional open resection.The indexes of intraoperative stress response,postoperative beauty,postoperative complications and recurrence were compared between the two groups. Results In the observation group,the operative time was shorter,the amount of intraoperative bleeding was less,the postoperative scar was smaller,the stress index was lower than that of the control group,the evaluation of postoperative aesthetic degree was better than that of the control group,and the incidence of postoperative complications was lower than that of the control group,statistically significant( P <0.05);There was no significant difference between the recurrence rate and the control group at 1 year after operation( P >0.05). Conclusion The treatment of benign breast tumor by minimally invasive rotary surgery has a better clinical effect,shortens the operation and hospital stay,reduces stress response,and promotes the aesthetic degree of surgery.It is worth to continue to use for reference and popularize in clinical practice.
作者
卢晓峰
张俊英
孙淑明
林豪雨
陈春发
梁伟全
Lu Xiaofeng;Zhang Junying;Sun Shuming(Department of Thyroid Mammary Surgery,The First Affiliated Hospital of Medical College of Shantou University,Shantou,Guangdong 505041;Medical Record Room,Cancer Hospital Affiliated to Medical College of Shantou University,Shantou,Guangdong 505041,China)
出处
《四川医学》
CAS
2018年第12期1393-1396,共4页
Sichuan Medical Journal
关键词
微创旋切术
乳腺
良性肿瘤
疗效
应激
复发
minimally invasive excision
mammary gland
benign tumor
curative effect
stress
recurrence
