乳腺微创旋切手术与传统手术治疗乳腺多发性肿块的疗效对比研究

Comparative study on the effi cacy of minimally invasive rotational mastectomy and traditional surgical treatment for multiple breast masses

目的比较乳腺多发性肿块患者采用乳腺微创旋切手术与传统手术治疗的疗效。方法选取2019年1月至2023年12月蒙自市人民医院收治的乳腺多发性肿块患者300例,患者均为女性,按照手术方式不同分为两组各150例。对照组开展传统手术治疗,观察组开展乳腺微创旋切手术治疗,观察患者围手术期指标、疼痛情况、乳房外观优良率、治疗疗效。结果观察组手术时间、切口愈合时间和住院时间均短于对照组,术中出血量少于对照组,切口长度短于对照组,差异均有显著性(P<0.05)。治疗前,两组患者的视觉模拟评分法(visual analogue scale,VAS)评分无显著差异,治疗后,观察组患者的VAS评分显著低于对照组,差异有显著性(P<0.05)。观察组患者的乳房外观优良率及临床疗效均优于对照组,差异有显著性(P<0.05)。结论乳腺多发性肿块行乳腺微创旋切手术治疗疗效显著,可以有效地清除病灶,相比传统治疗方式更优,可以有效地降低手术对机体产生的创伤,缩短康复周期,并保证患者乳房美观度,促使患者尽早恢复健康。

Objective To explore the efficacy of minimally invasive rotational mastectomy and traditional surgical treatment in patients with multiple breast masses.Method 300 female patients with multiple breast masses admitted to Mengzi People’s Hospital from January 2019 to December 2023 were selected and divided into two groups of 150 patients each according to diff erent surgical methods.The control group underwent traditional surgical treatment,while the observation group underwent minimally invasive rotational mastectomy.The perioperative indicators,pain levels,breast appearance improvement rate,and treatment efficacy of the patients were observed.Result The observation group had shorter surgical time,incision healing time,and hospitalization time compared to 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,with signifi cant diff erences(P<0.05).Before treatment,there was no significant difference in VAS scores between the two groups of patients.After treatment,the VAS scores of the observation group were signifi cantly lower than those of the control group,and the diff erence was signifi cant(P<0.05).The observation group had a higher incidence of excellent breast appearance compared to the control group,and the clinical effi cacy was signifi cantly better(P<0.05).Conclusion Minimally invasive rotational resection surgery for multiple breast masses has significant therapeutic effects,effectively removing lesions and being superior to traditional treatment methods.It can eff ectively reduce the trauma caused by surgery to the body,shorten the recovery period,and ensure the beauty of the patient’s breast,promoting early recovery of health.