经腋前线单切口腔镜辅助乳腺纤维瘤手术与常规手术的比较

Via the axillary front sheet cutting mouth mirror auxiliary mammary gland fibroma operation compared with the conventional surgery

目的:探讨并分析经腋前线单切口腔镜辅助乳腺手术切除乳腺纤维瘤的安全性与可行性。方法:选取我院2015年4月-2016年10月的80例患有乳腺纤维瘤的患者,并分为研究组和对照组,研究组采用经腋前线VABS手术治疗,对照组采用经乳晕切口常规手术治疗。对两组患者的术后效果和并发症情况进行对比。结果:两组患者的手术时间、出血量和住院时间的差异无显著性。研究组患者的并发症发生率比对照组患者的并发症发生率低,差异有统计学意义(P<0.05)。结论:经腋前线VABS在乳腺纤维瘤的病灶切除中有与常规手术相似的安全性和可操作性,更适合乳房外侧象限病灶切除,且住院时间、手术时间和出血量等相关问题都相对的提高,适合在临床上推广应用。

Objective:To explore and analyze the safety and feasibility of single-transthoracoscope-assisted breast surgery for breast fibroidectomy.Methods:80patients with breast fibroids from April 2015 to October 2016 were selected and divided into study group.The study group was treated with axillary posterior VABS operation.The control group was treated with transurethral incision Surgical treatment.The postoperative outcomes and complications were compared between the two groups.Result:There was no significant difference in the operation time,blood loss and hospitalization time between the two groups.The incidence of complications in the study group was lower than that in the control group(P <0.05).Conclusion:VABS in the anterior axillary line in the lesion resection of breast fibrosis in the surgery and similar to the safety and operability,more suitable for the removal of the lateral breast lesion lesions,and hospitalization time,operation time and bleeding and other related issues are relative Improve,suitable for clinical application.