微创手术与美乳切口手术治疗多发乳腺良性肿物临床效果对比

A Comparison of Clinical Effects between Minimally Invasive Surgery and Beauty Incision Surgery for Multiple Benign Breast Tumors

目的:探讨Mammotome微创手术治疗多发乳腺良性肿物患者的临床效果。方法:回顾性分析218例多发乳腺良性肿物患者的临床病理资料,分为观察组(Mammotome微创手术)和对照组(美乳切口手术),分析两组手术情况和术后并发症发生率。结果:两组术中出血量比较,差异无统计学意义(P>0.05);单侧乳房切除肿物<5枚时,观察组手术时间、切口愈合时间均短于对照组,换药次数少于对照组(P<0.05);单侧乳房切除肿物≥5枚时,观察组切口愈合时间短于对照组,换药次数少于对照组(P<0.05);观察组术后切口感染率明显低于对照组,术后2 d出血/残腔血肿、皮肤瘀斑发生率均明显高于对照组(P<0.05);两组术后疼痛、肿瘤复发和乳房变形/皮肤凹陷发生率比较,差异均无统计学意义(P>0.05)。结论:对于单侧乳房切除肿物数量<5枚的多发乳腺良性肿物患者来说,Mammotome微创手术具有手术时间短、术后换药次数少、切口愈合快、不增加肿瘤复发风险的优势。

Objective:To investigate the clinical effects of Mammotome minimally invasive surgery in the treatment of multiple benign breast tumors.Method:The clinical and pathological data of 218 patients with multiple benign breast tumors were retrospectively analyzed,which were divided into the observation group(Mammotome minimally invasive surgery)and the control group(beauty incision surgery).The operation condition and the incidence of postoperative complications of the two groups were compared.Result:The intraoperative blood loss was compared between the two groups,and the difference was not statistically significant(P>0.05).When the number of tumors removed in unilateral breast<5,the operation time and the time of incision healing in the observation group were significantly shorter than those of the control group,and the number of dressing changes was less than that of the control group(P<0.05).When the number of tumors removed in unilateral breast≥5,the time of incision healing in the observation group was significantly shorter than that of the control group,and the number of dressing changes was less than that of the control group(P<0.05).The postoperative incision infection rate of the observation group was significantly lower than that of the control group,and the incidence of hemorrhage/residual hematoma two days after the operation and the incidence of skin ecchymosis were significantly higher than those of the control group(P<0.05).The incidences of postoperative pain,tumor recurrence,breast deformation/skin depression of the two groups were compared,and the differences were not statistically significant(P>0.05).Conclusion:When the number of tumors removed in unilateral breast<5,the Mammotome minimally invasive surgery has the advantages of short operation time,fewer postoperative dressing changes,faster incision healing time and no increase in risk of tumor recurrence for patients with multiple benign breast tumors.