单孔腔镜下手术治疗乳腺癌临床效果及生命质量观察

Observation of clinical effect and quality of life of breast cancer treated by single aperture endoscopic surgery

目的探讨单孔腔镜下手术治疗乳腺癌的临床效果及对患者生命质量的影响。方法回顾性分析2020年4月—2020年10月河南省肿瘤医院乳腺癌患者58例的临床资料并在术后6个月对其进行随访。根据手术方法的不同进行分组:实施传统乳腺癌手术的30例患者为对照组;实施单孔腔镜下手术的28例患者为试验组。比较两组手术情况:手术时间、切口长度、术中出血量、住院时间等情况;同时比较两组患者术后6个月的生命质量。结果比较两组手术相关指标:腔镜组手术时间(230.89±81.77)min vs常规组手术时间(134.17±70.48)min,腔镜组切口长度(3.79±0.79)cm vs常规组切口长度(14.83±0.87)cm,腔镜组术中出血量(14.11±3.86)mL vs常规组术中出血量(36.17±7.03)mL,腔镜组住院时间(11.14±1.84)d vs常规组住院时间(13.20±2.88)d以及拔管时间,差异均有统计学意义(P<0.05);术后6个月两组患者生命质量测定比较,腔镜组生理状况(7.86±1.94)vs常规组生理状况(13.77±1.96),腔镜组情感状态(7.18±3.84)vs常规组情感状态(11.4±3.65)以及功能状态、附加状态各维度得分,差异均有统计学意义(P<0.05)。结论单孔腔镜下实施乳腺癌手术,可以保证肿瘤完整切除的同时,还可以减少手术切口长度,减少出血量、有效缩短了住院时间及拔管时间、增加美感,提升乳腺癌患者的生命质量。

Objective To investigate the clinical effect of single-aperture endoscopic surgery for breast cancer and its influence on the quality of life of patients.Methods The clinical data of 58 patients with breast cancer in our hospital from April to October 2020 were retrospectively analyzed and followed up 6 months after surgery.The patients were divided into groups according to different surgical methods:30 patients who underwent traditional breast cancer surgery were the control group;the experimental group consisted of 28 patients who underwent single-hole endoscopic surgery.The operation conditions of the two groups were compared:intraoperative blood loss,incision length,operation time,hospital stay,etc.Meanwhile,the quality of life 6 months after operation was compared between the two groups.Results Comparing the surgical related indicators between two groups,the laparoscopic group had a surgical time of(230.89±81.77)minutes,while the conventional group had a surgical time of(134.17±70.48)minutes.The laparoscopic group had an incision length of(3.79±0.79)cm,while the conventional group had an incision length of(14.83±0.87)cm.The intraoperative blood loss in the laparoscopic group was(14.11±3.86)ml,while the conventional group had an intraoperative blood loss of(36.17±7.03)ml.The laparoscopic group had a hospital stay of(11.14±1.84)days,while the conventional group had a hospital stay of(13.20±2.88)days.The differences in extubation time were statistically significant(P<0.05);Six months after surgery,the quality of life of the two groups of patients was compared.The physiological status of the laparoscopic group was(7.86±1.94),while that of the conventional group was(13.77±1.96).The emotional status of the laparoscopic group was(7.18±3.84),while that of the conventional group was(11.4±3.65).There were statistically significant differences in the scores of functional status and additional status dimensions(P<0.05).Conclusion Breast cancer surgery under single hole endoscopy can not only guarantee the complete resection of tumor,but also reduce the length of surgical incision,reduce the amount of blood loss,effectively shorten the hospital stay and extubation time,increase the aesthetic feeling,and improve the quality of life of breast cancer patients.