麦默通微创旋切手术治疗良性乳腺肿物的临床研究

Clinical Study on Mammotome Minimally Invasive Rotation Surgery in Treatment of Benign Breast Tumor

目的探究良性乳腺肿物患者接受麦默通微创旋切手术治疗的临床效果。方法随机在该院2017年4月—2018年6月收治的良性乳腺肿物患者中共计选择278例为研究对象,依据手术方法分为两组,139例接受常规肿物切除术的参照组与139例接受麦默通微创旋切手术治疗的研究组,比较两组的手术效果。结果参照组与研究组的手术用时分别为(54.37±8.34)min、(17.25±5.28)min,差异有统计学意义(t=44.336,P<0.001);术中出血量分别为(98.52±3.47)mL、(13.54±4.93)mL,差异有统计学意义(t=166.187,P<0.001);术后瘢痕分别为(27.05±5.1)mm、(2.73±0.45)mm,差异有统计学意义(t=56.004,P<0.001);并发症总发生率分别为23.02%、12.23%,差异有统计学意义(χ~2=5.578,P=0.018)。结论良性乳腺结节患者接受麦默通微创旋切手术治疗,对机体造成的创伤和瘢痕小,并发症少,并且可缩短住院时间,效果尤其优于常规手术。

Objective To study the clinical effect of mammotome minimally invasive rotation surgery in treatment of benign breast tumor.Methods 278 cases of patients with benign breast tumor in our hospital from April 2017 to June 2018 were selected and divided into two groups according to operative methods,with 139 cases in each,the control group used the routine tumor resection,while the control group used the mammotome minimally invasive rotation surgery,and the operative effect was compared between the two groups.Results The operation time in the control group and in the research group was respectively(54.37±8.34)min,(17.25±5.28)min,and the difference was statistically significant(t=44.336,P<0.001);and the intraoperative bleeding amount was respectively(98.52±3.47)mL,(13.54±4.93)mL,and the difference was statistically significant(t=166.187,P<0.001);and the postoperative scar was respectively(27.05±5.1)mm,(2.73±0.45)mm,and the difference was statistically significant(t=56.004,P<0.001),and the total incidence rate of complications was respectively 23.02%,12.23%,and the difference was statistically significant(χ^2=5.578,P=0.018)Conclusion The mammotome minimally invasive rotation surgery in treatment of benign breast tumor patients can impose small wound and scar on organs,with few complications,and it can shorten the length of stay,and the effect is better than that of routine surgery.Benign breast tumor;Mammotome minimally invasive rotation surgery;Routine tumor resection.