乳腔镜与传统手术治疗乳腺疾病的效果评价

Evaluation on curative effects of mastoscopy and conventional surgery in treatment of breast diseases

目的:比较乳腔镜与传统手术方法治疗乳腺疾病的效果,探讨两种方法的优缺点。方法:选取本科经乳腔镜治疗的各类有代表性乳腺疾病手术患者20例,并随机选取本科同期行传统手术治疗的患者100例作为对照,对两组患者美容效果、手术时间、并发症及疗程等进行回顾性研究。结果:与传统手术比较,乳腔镜手术美容效果明显,乳腔镜患者美容满意率(95%)高于而传统手术(34%)(P<0.01);与传统手术比较,乳腔镜手术出血、积液和感染等并发症发生情况差异无统计学意义(P>0.05);但术后疼痛及组织损伤发生率低于传统手术(P<0.01),手术切口明显缩小(P<0.01),疗程缩短(P<0.05);在观察期间恶性肿瘤复发率两种方法比较差异无统计学意义(P>0.05)。结论:乳腔镜在乳腺疾病治疗中,美容效果突出,是一种先进的乳腺疾病外科治疗方法。

Objective To compare the curative effects of mastoscopy and conventional surgery in the treatment of breast diseases and study the advantages and disadvantages of the two methods. Methods 20 patients with breast cancer, benign tumor, polyacrylamide hydrogel injection or gynaecomastia underwent mastoscopy-assisted surgery were collected as mastoscopy group and 100 patients underwent conventional surgery in the same period were collected as control group. The aesthetic result, the operation time, the treatment time and the complications were assessed in two groups. Results The consmetic outcome achieved in 95 % patients in mastoseopy group while in 34% patients in control group（P〈0.01）. There were no differences in the complications of hematoma, seroma, infection and recurrence between two groups （P〉 0.05）. The postoperative pain and the incidence of injury of mastoscopy were shorter than that of conventional surgery. Mastoscope-assisted breast augmentation could reduce the pain, bleeding and tissue injury （P〈0.05）. The surgical incision in mastoscopy group was smaller and the treatment time was shorter than those in control group（P〈0.05）. Conclusion The surgery assisted by mastocopy can achieve better cosmetic results. It is a good way to perform surgery for the patients with all kinds of breast diseases.