改良乳腺区段切除术治疗乳腺良性肿块的临床价值分析

The analysis of clinical value of modified partial mastectomy in the treatment of benign breast tumors

目的探讨乳腺区段切除术对乳腺良性肿块的临床治疗价值。方法将我院收治的120例乳腺良性肿块患者随机分为两组，每组60例，其中观察组采取改良乳腺区段切除术治疗，对照组采取传统乳腺区段切除术治疗，比较观察患者的手术时间、术中出血量、术后疼痛时间、愈合时间、乳房形态良好及并发症情况。结果观察组的平均手术时间为（34±6．5）min、术中出血量为（82±12．5）ml，对照组分别为（33±5.8）min、（80±13．6）ml，两组比较差异无统计学意义（P〉0．05），观察组患者术后疼痛时间为（1．8±0.3）d、愈合时间为（3．4±0．6）d，明显低于对照组，乳房外形良好率为88．33％，明显高于对照组（15．00％），两组比较差异有统计学意义（P〈0．01）；观察组并发症发生率为6．67％，明显低于对照组（31．67％），两组比较差异有统计学意义（P〈0．01）。结论改良乳腺区段切除术治疗乳腺良性肿块疗效显著，与传统术式相比患者疼痛小、恢复快、并发症少，值得临床推广应用。

Objective To investigate the clinical value of modified partial mastectomy in benign breast tumors. Methods 120 patients with benign breast tumors in our hospital were randomly divided into two groups, each group of 60 cases. Observation group was treated with modified partial mastectomy, while control group was treated with traditional partial mastectomy. Observed and compared the operative time, intraoperative blood loss, postoperative pain time, healing time, breast shape and complications of two groups. Results The average operative time was （34± 6.5） min and intraoperative blood loss was （82±12.5） ml in observation group; while those in control group were （33 ±5.8） min,（80±13.6） ml respectively, without statistically significant differences between two groups （P〉0.05）. The postoperative pain time was （1.8±0.3） d and healing time was （3.4±0.6）d in observation group, significantly shorter than those in control group; the rate of good breast shape of observation group was 88.33%, significantly higher than that of control group, with a significant difference between two groups（P〈0.01）; complication rate of observation group was 6.67%, significantly lower than that of control group （ 31.67% ） , with a siguificant difference between two groups（P〈0.01）. Conclusion The clinical efficacy of modified partial mastectomy in benign breast tumors is significant, with less pain, faster recovery and fewer complications compared to traditional partial mastectomy, which is worthy of clinical application.