比较麦默通微创旋切手术与常规乳腺肿物切除术治疗良性乳腺肿物的临床疗效

Clinical Effect of Maimertong Minimally Invasive Circumcision and Conventional Mastectomy in the Treatment of Benign Breast Masses

目的探讨麦默通微创旋切手术与常规乳腺肿物切除术治疗良性乳腺肿物的临床疗效。方法回顾性分析2017年12月—2019年1月信阳市中心医院收治的良性乳腺肿物患者104例临床资料,根据手术方案的选择分为两组,每组各52例。两组术前均经X线检查和B超检查确认肿物状态,根据肿物位置协助患者摆正体位。对照组采取常规乳腺肿物切除术,观察组实施麦默通微创旋切手术。对比分析两组患者的手术基本指标和并发症。结果观察组手术时间、住院时间、瘢痕长度均比对照组短,术中出血量比对照组少,差异有统计学意义(t=13.457、22.408、70.039、28.091,P<0.05);观察组并发症发生率(3.85%)比对照组(17.31%)低,差异有统计学意义(χ^2=4.981,P=0.026)。结论麦默通微创旋切手术治疗良性乳腺肿物的整体效果优于常规乳腺肿物切除术,创伤小,可有效缩短手术及恢复时间,减少术中出血,且可降低并发症的发生率,满足患者美观性要求。

Objective To explore the clinical effect of maimertong minimally invasive circumcision and conventional mastectomy in the treatment of benign breast masses. Methods The clinical data of 104 patients with benign breast tumor from December,2017 to January, 2019 were analyzed retrospectively. According to the choice of operation plan, the patients were divided into two groups, with 52 cases in each group. X-ray examination and B-ultrasonic examination were carried out to confirm the status of the tumor in both groups before operation, and to assist the patients to straighten the body position according to the location of the tumor. In the control group, routine mastectomy was performed, and in the observation group, minimal invasive circumcision was performed. The basic operation indexes and complications of the two groups were compared and analyzed. Results The operation time,hospitalization time and scar length in the observation group were shorter than those in the control group, and the amount of bleeding in the operation was less than that in the control group. The difference was statistically significant(t=13.457, 22.408, 70.039,28.091, P<0.05). The incidence of complications in the observation group(3.85%)was lower than that in the control group(17.31%), and the difference was statistically significant(χ^2=4.981, P=0.026). Conclusion The overall effect of maimertong minimally invasive circumcision in the treatment of benign breast masses is better than that of conventional mastectomy. It has less trauma, can effectively shorten the operation and recovery time, reduce intraoperative bleeding, and reduce the incidence of complications, and meet the aesthetic requirements of patients.