真空辅助乳腺微创旋切术治疗乳腺纤维腺瘤的临床效果研究

Clinical Effect of Minimally Invasive Vacuum-assisted Breast Gyrotomy in the Treatment of Breast Fibroma

目的:探讨真空辅助乳腺微创旋切术治疗乳腺纤维腺瘤的临床效果。方法:选取笔者医院2019年9月-2020年9月收治的92例乳腺纤维腺瘤患者,随机分为观察组(n=46,应用真空辅助乳腺微创旋切术)和对照组(n=46,应用环乳晕切口术),采用统计学方法分析两组患者治疗后的围术期指标(手术时间、术中出血量、切口长度、切口愈合时间)、美学效果(乳房对称性、凹陷程度、质地与弹性、皮肤颜色)、乳晕区感觉神经功能损伤情况、并发症(乳房变形、皮下血肿、皮肤破损、皮下瘀斑)、肿瘤复发率及肿瘤残余率。结果:术后,观察组手术时间、切口愈合时间短于对照组,术中出血量少于对照组,切口长度短于对照组,差异均有统计学意义(P<0.05);术后1个月,观察组美学效果优良率高于对照组患者(P<0.05);观察组患者术后1 d与术后6个月乳晕区感觉神经功能正常的比例为43.48%、91.30%,均高于对照组的23.91%、73.91%(P<0.05);术后,观察组肿瘤残余率和复发率均低于对照组(P<0.05),两组并发症发生情况比较差异无统计学意义(P>0.05)。结论:真空辅助乳腺微创旋切术能够降低围术期指标和术后并发症,美学效果好,肿瘤残余率和复发率低,值得临床推广应用。

Objective To investigate the clinical effect of minimally invasive vacuum-assisted breast gyrotomy in the treatment of breast fibroma.Methods Ninety-two patients with breast fibroma admitted to the author's hospital from September 2019 to September 2020 were randomly divided into observation group(n=46,vacuum-assisted minimally invasive breast gyrotomy)and control group(n=46,circumareolar incision).The perioperative indicators(operation time,intraoperative blood loss,incision length,incision healing time),aesthetic effects(breast symmetry,depression degree,texture and elasticity,skin color),sensory nerve function damage in areola area,complications(breast deformation,subcutaneous hematoma,skin damage,subcutaneous ecchymosis),tumor recurrence rate and postoperative complications were analyzed by statistical methods Tumor residual rate.Results After operation,the operation time and incision healing time of the observation group were shorter than those of the control group,the intraoperative blood loss was less than that of the control group,and the incision length was shorter than that of the control group,the differences were statistically significant(P<0.05).One month after operation,the excellent and good rate of aesthetic effect in the observation group was higher than that in the control group(P<0.05).The proportions of patients with normal sensory nerve function in areola area at 1 day and 6 months after operation in the observation group were 43.48%and 91.30%,which were higher than 23.91%and 73.91%in the control group(P<0.05).After operation,the residual rate and recurrence rate of tumor in the observation group were lower than those in the control group(P<0.05),and there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Vacuum-assisted minimally invasive mastectomy can reduce perioperative indicators and postoperative complications,with good aesthetic effect and low tumor residual rate and recurrence rate,which is worthy of clinical application.