乳腺区段切除术残端腺体改良缝合与传统术式对比研究

Mammary Glands Modified Section of the Resection Stump with Traditional Surgical Suture Comparative Study

目的研究并对比改良缝合和传统术式在乳腺区段切除术残端腺体治疗当中的效果。方法方便收集2014年7月—2015年6月在该院接受治疗的乳腺良性疾病患者共120例,根据平行、单盲、随机对照的设计原则分为对照组（60例）和观察组（60例）,均接受乳腺区段切除术,对照组接受传统全腺体缝合术,观察组接受残端腺体改良缝合术,将两组患者的平均手术时间、术后出血率进行观察和对比。结果观察组的平均手术时间为（30.7±3.5）min,显著短于对照组的（34.5±3.6）min,t=5.862,P=0.000;观察组的术后出血率为3.3%,与对照组的0.0%相比,差异无统计学意义,χ-2=2.034,P=0.154。结论在乳腺良性疾病患者的乳腺区段切除术当中,残端腺体改良缝合能够使患者更加获益,减轻患者的痛苦和负担,值得推广应用。

Objective To study and compare traditional and improved surgical suture zone in the breast gland resection stump among the treatment effect. Methods Convenient collect June 2014 to July 2015 in our hospital accepted treatment of benign breast disease patients, a total of 120 cases, according to parallel, single blind, randomized controlled design principle divided into control group（60 cases） and observation group（60 cases）. All patients received breast section excision, and the control group received conventional whole gland body suture, observation group received stump glands improved suture,two groups of patients with average operation time, postoperative hemorrhage rate were observed and compared. Results Observation group, the average operation time for（30.7±3.5）min was shorter in the control group（34.5±3.6） min, t=5.862, P =0.000; observation group of postpartum hemorrhage rate was 3.3% compared with the control group of 0.0%, no significant difference, χ-2=2.034, P = 0.154. Conclusion In patients with benign breast disease breast surgery among segments, improved glandular stump suture can make patients more benefits, reduce patient pain and burden, should be widely applied.