麦默通微创旋切术与传统小切口手术对乳腺良性结节患者疼痛程度及并发症的影响比较

Comparison of the Effect of Memerton Minimally Invasive Rotory Resection and Traditional Small Incision on Pain and Complications in Patients with Benign Breast Nodules

目的:比较麦默通微创旋切术与传统小切口手术对乳腺良性结节患者疼痛程度及并发症的影响。方法:回顾性分析2019年6月—2022年6月启东市中医院收治的108例乳腺良性结节患者的临床资料,其中54例患者行麦默通微创旋切术治疗(观察组),54例患者行传统小切口手术治疗(常规组)。两组术后均随访6个月。比较两组术中出血量、手术时间、术后6、12、24 h疼痛情况[视觉模拟量表(VAS)评分],以及血流动力学每搏输出量(SV)、平均动脉压(MAP),统计并对比两组术后并发症发生情况、满意度。结果:观察组术中出血量少于常规组(P<0.05),手术时间短于常规组(P<0.05)。两组术后不同时间点间的VAS评分对比,差异有统计学意义(F_(时间)=10.254,P=0.001);两组VAS评分比较,差异有统计学意义(F_(组间)=7.854,P=0.025),观察组术后6、12、24 h的VAS评分均低于常规组(P<0.05);组间和时间不存在交互效应(F_(交互)=2.549,P=0.089)。麻醉诱导开始时,两组SV、MAP水平比较差异均无统计学意义(P>0.05);术毕、术后12 h时,两组SV、MAP水平均高于麻醉诱导开始时,但观察组SV、MAP水平均低于常规组,差异均有统计学意义(P<0.05)。观察组术后并发症发生率低于常规组(P<0.05)。观察组总满意度高于常规组(P<0.05)。结论:与传统小切口术应用于乳腺良性结节相比,麦默通微创旋切术可促进患者康复,缓解患者疼痛,对血流动力学影响较小,降低术后并发症,提高满意度。

Objective:To compare the effects of Memerton minimally invasive rotory resection and traditional small-incision surgery on pain and complications in patients with benign breast nodules.Method:The clinical data of 108 patients with benign breast nodules admitted to Qidong Hospital of Traditional Chinese Medicine from June 2019 to June 2022 were retrospectively analyzed.Among them,54 patients were treated with Memerton minimally invasive rotory resection(the observation group)and 54 patients were treated with traditional small-incision surgery(the conventional group).Both groups were followed up for 6 months.Intraoperative blood loss,operation time,pain[visual analog scale(VAS)score]at 6,12,24 h after surgery,hemodynamic stroke volume(SV)and mean arterial pressure(MAP)were compared between the two groups.The incidence of postoperative complications and satisfaction were statistically compared between the two groups.Result:The amount of blood loss during operation in observation group was less than that in conventional group(P<0.05),and the operation time was shorter than that in conventional group(P<0.05).The VAS scores of the two groups were compared at different time points after surgery,the difference was statistically significant(F_(time)=10.254,P=0.001).The VAS scores of the two groups were significantly different(F_(groups)=7.854,P=0.025),and the VAS scores of the observation group were lower than those of the conventional group at 6,12 and 24 h after surgery(P<0.05).There was no interaction between groups and time(F_(interaction)=2.549,P=0.089).At the beginning of anesthesia induction,there were no significant differences in SV and MAP levels between the two groups(P>0.05).After operation and 12 h after operation,SV and MAP levels in two groups were higher than those at the beginning of anesthesia induction,but SV and MAP levels in the observation group were lower than those in the conventional group,with statistical significance(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the conventional group(P<0.05).The total satisfaction of observation group was higher than that of conventional group(P<0.05).Conclusion:Compared with traditional small incision surgery for benign breast nodules,Memerton minimally invasive rotory resection can promote patient recovery,relieve pain,have less impact on hemodynamics,reduce postoperative complications,and improve satisfaction.