临床普外科电子杂志 ›› 2021, Vol. 9 ›› Issue (4): 31-.

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不同手术入路方式行微创旋切术治疗良性乳腺肿瘤的效果对比

  

  1. 江门市妇幼保健院 乳腺科,广东 江门 529000
  • 出版日期:2021-10-01 发布日期:2021-12-23

Comparison of different surgical approaches in the treatment of benign breast tumors by mamotone minimal invasive surgery

  1. Breast Surgery of Jiangmen Maternity and Child Health Care Hospital, Jiangmen 529000, Guangdong
  • Online:2021-10-01 Published:2021-12-23

摘要:

目的 探讨环乳晕切口入路对比传统手术切口入路行微创旋切术治疗良性乳腺肿瘤的效果。方法 回顾性分析2018 年1 月至2019 年12 月江门市妇幼保健院收治的120 例行微创手术治疗的良性乳腺肿瘤患者,根据手术方式分为传统组和环乳晕组。传统组有60例,采用旁开肿物边缘1cm 处入路;环乳晕组60 例,采用环乳晕处切口入路。比较两组患者手术相关数据,包括手术时间、出血量、一次性穿刺成功率,术后1 个月、3 个月的瘢痕情况和术后3 个月的乳腺美容效果。结果 环乳晕组的手术时间显著长于传统组[(25.25±4.65)min 比(20.25±3.56)min,P< 0.01];两组患者术中出血量、一次性穿刺成功率和术中疼痛评分比较,差异无显著性(P >0.05)。环乳晕组术后1 个月和术后3 个月温哥华瘢痕量表(Vancouver scar scale,VSS) 评分都显著优于传统组(P < 0.01)。两组患者术后3 个月乳腺外观评分比较,差异无显著性(P > 0.05)。结论 乳腺微创旋切术采用环乳晕切口入路,在保证疗效的同时,能有效改善术后乳腺癌伤口的美容效果。

关键词: 环乳晕切口, 微创旋切术, 良性, 乳腺肿瘤

Abstract:

Objective To investigate the efficacy of minimally invasive mamotone in the treatment of

benign breast tumors by comparing annular areola incision with traditional incision approach. Methods

A retrospective analysis was performed on 120 patients with benign breast tumors treated with minimally

invasive mamotone in Jiangmen Maternal and Child Health Hospital from January 2018 to December

2019. According to the surgical methods, they were divided into the traditional group and annular areola

group. In the traditional group, there were 60 cases, and there were 60 cases in annular areola group.

Data related to surgery were compared between the two groups, including operation time, blood loss and

one-time puncture success rate. The wound of 1 month and 3 month after surgery were compared. The

cosmetic effect of 3 months after surgery were compared. Results The operation time was significantly

longer in the annular areola group than in the traditional group (25.25±4.65 vs 20.25±3.56min,

P<0.01). The comparison of intraoperative blood loss, one-time puncture success rate and intraoperative pain score between the two groups was not statistically significant (P > 0.05). Vancouver scar

scale(VSS) assessment in the annular areola group were significantly better than those in the traditional

group at 1 and 3 months after surgery (P < 0.01). There was no statistically significant difference in

breast appearance score between the two groups in 3 months after surgery (P > 0.05). Conclusion The

minimally invasive mamotone using annular areola incision can effectively improve the cosmetic effect

while ensuring the curative effect.

Key words: Annular areola incision, Minimally invasive mamotone, Benign, Breast tumors