麦默通微创旋切术与传统手术治疗乳腺肿块效果对比分析

Comparison of Mammotome minimally invasive surgery with traditional surgery for breast lumps

目的探讨乳腺良性肿块应用麦默通微创旋切术与传统手术治疗效果对比分析。方法按照随机数字表法将本组纳入的98例患者随机分为A组和B组,各49例。A组采用传统开放乳腺肿块切除术治疗,B组采用麦默通微创旋切术治疗。对比分析两组患者手术时间、术中出血量、术后愈合时间、术后瘢痕大小、住院时间、术后疼痛情况以及并发症发生情况。结果 B组手术时间显著短于A组,术中出血量显著少于A组,术后愈合时间显著短于A组,差异均具有显著性(P<0.05);B组患者术后瘢痕大小显著小于A组,差异具有显著性(P<0.05);B组住院时间显著短于A组,差异具有显著性(P<0.05);B组术后轻度疼痛患者多于A组,术后重度疼痛患者显著少于A组,差异均具有显著性(P<0.05);B组并发症发生率(2.04%)显著低于A组(16.33%),差异具有显著性(P<0.05)。结论与传统开放乳腺肿块切除术比较,乳腺良性肿块应用麦默通微创旋切术具有手术时间短、出血量少,术后愈合时间住院时间短,术后瘢痕小、术后疼痛轻、并发症少的优点。

Objective To compare the clinical outcomes of Mammotome minimally invasive surgery with traditional open surgery for benign breast lumps. Methods According to the random number table,98 patients were randomly divided into group A and group B,49 patients in each group. Traditional open breast lumpectomy was used in group A,Mammotome minimally invasive surgery was used in group B. Operative time,blood loss,postoperative healing time,scar size,length of stay,postoperative pain,as well as the occurrence of complications were compared between two groups. Results Compared with group A,in group B,the operative time,postoperative healing time and hospital stay were significantly shorter,blood loss and postoperative severe pain were significantly less,and the scar size was significantly smaller（ all P 0. 05）. The complication rate（ 2. 04%） was significantly lower than in group A（ 16. 33%）（ P 0. 05）. Conclusion Compared with the traditional open breast lumpectomy,Mammotome minimally invasive surgery had the advantages of shorter operative time,hospital stay and postoperative healing time,small scar,and less blood loss,postoperative pain and complications for benign breast lumps.