开放加微创联合手术治疗乳腺多发性肿块的疗效

Curative Effect of Open Combined With Minimally Invasive Surgery for Multiple Breast Lumps

目的探讨开放加微创联合手术治疗乳腺多发性肿块的临床疗效。方法回顾性分析我院80例乳腺多发性肿块患者的临床资料,将入选的患者按照入院顺序分为对照组和研究组,每组40例,对照组患者采用常规的开放式手术治疗,研究组患者采用开放加微创联合手术治疗,比较两组患者的手术效果及预后情况。结果研究组手术时间、术中出血量、切口愈合时间及住院时间均显著少于对照组,两组比较差异有统计学意义(P<0.05),研究组患者的术后美容满意度高于对照组,术后局部形成血肿及肿块复发率低于对照组,两组比较差异有统计学意义(P<0.05),但两组患者的哺乳功能比较,差异无统计学意义(P>0.05)。结论开放加微创联合手术能有效的提高乳腺多发性肿块的手术效果,适应性更广,且并发症少。

Objective To investigate the clinical efficacy of open and minimally invasive combined surgery in the treatment of multiple breast tumors.Methods 80 cases with multiple mammary glands in our hospital were analyzed retrospectively,they were divided into the control group and the study group according to the order of admission,40 cases in each group,control group were treated with conventional open surgery,study group were treated with open and minimally invasive combined surgery,operation effect and prognosis of the two groups were compared.ResultsThe operation time,blood loss,incision healing time and length of stay in the study group were less than those in the control group,the difference between the two groups was statistically significant（P〈0.05）,satisfaction degree of the patients in the study group was higher than that in the control group,and the local hematoma and tumor recurrence rate was lower than that of the control group,the difference between the two groups was statistically significant（P〈0.05）,but there was no significant difference in the breast function between the two groups（P〈0.05）.Conclusion Open combined with minimally invasive combined surgery can effectively improve the operation effect of multiple breast tumors.It has wider adaptability and less complications.