经腋窝入路单孔充气法腔镜下切除术治疗乳腺良性肿瘤的可行性与临床效果分析

Feasibility And Clinical Effect Analysis of Endoscopic Resection of Breast Benign Tumor by Single-hole Inflatable Via Axillary Approach

目的探讨分析乳腺良性肿瘤治疗中采用经腋窝入路单孔充气腔镜下切除术的临床效果。方法回顾性分析2021年1月至2023年12月医院收治的20例乳腺良性肿瘤患者的临床资料,入院后均行经腋窝入路单孔充气腔镜下切除术治疗,分析手术情况和临床效果。结果20例患者均完成手术,共切除肿瘤47枚,平均每例患者切除(2.0±1.1)枚肿瘤;单侧乳房的平均手术时间为(66.5±3.1)min,双侧乳房的平均手术时间为(110.7±6.8)min。内侧象限的单个肿瘤切除平均用时短于外侧象限,P<0.05;肿瘤直径>5.0 cm患者单个肿瘤的切除时间短于肿瘤直径≤5.0 cm的患者,P<0.05。患者术后均未出现感染、出血等并发症。术后随访3个月,均无复发情况。20例患者均对手术效果满意,治疗满意度为100%。结论经腋窝入路单孔充气腔镜下切除术对乳腺良性肿瘤的治疗效果理想,不但能完整切除肿瘤病灶,还具有较高的安全性和美观性。

Objective:To explore and analyze the clinical effect of endoscopic resection of breast benign tumor with single-hole inflatable via axillary approach.Methods:The clinical data of 20 patients with breast benign tumor admitted to our hospital from January 2021 to December 2023 were analyzed retrospectively.After admission,they were all treated by single-hole endoscopic resection via axillary approach,and the operation situation and clinical effect were analyzed.Results:All the 20 patients completed the operation,and 47 tumors were removed,with an average of(2.0±1.1)tumors per patient.The average operation time of unilateral breast was(66.5±3.1)min,and that of bilateral breast was(110.7±6.8)min.The average time for resection of a single tumor in the medial quadrant was shorter than that in the lateral quadrant,P<0.05.The resection time of single tumor in patients with tumor diameter>5.0 cm was shorter than that in patients with tumor diameter≤5.0 cm,P<0.05.There were no complications such as infection and bleeding after operation.Follow-up for 3 months after operation showed no recurrence.All 20 patients were satisfied with the surgical effect,and the treatment satisfaction rate was 100%.Conclusion:Single-port endoscopic resection via axillary approach is effective in the treatment of benign breast tumors,which not only can completely remove the tumor focus,but also has high safety and aesthetics.