腔镜下手术切除乳腺良性肿瘤的体会.doc

砂竟砰稱刀除卿 良 2018-03-20 01:26:12中国现代医生2018年1期 代明盛赵伟军罗钧刚徐潮阳 表1传统组与腔镜组一般情况比较 组别 n 年龄伍±$，岁)肿瘤直径伍±5,cm) 肿扌 外上象 传统组 45 30.71 ±2.95 3?62±0?57 32 腔镜组 42 31?28±3?29 3?58±0?42 27 吹值 0.85 0.37 P值 0.40 0.71 表2传统组与腔镜组临床结果比较(丘±5) 组别 n 手术时间 (min) 术中出血 fi(niL) 术后第1天 切口疼痛评 分(分) 住院时间切 (d) 传统组 45 72.51 ±6.97 12?35±3?49 5.62±0.39 5?29±0?73 6J 腔镜组 42 46.38±5.71 6.39±2.83 3.57±0.45 3.27±0.59 2」 /值 19.05 8.71 22.75 14.13 P值 0.00 0.00 0.00 0.00 ［摘要］目的探討腔镜下手术切除乳腺良性肿瘤的临床效果。方法选择2016年1?12 J］收治 的直径2?5 cm、乳腺弹性B超评分为3分以下、位于乳腺外上或外下的乳腺良性肿瘤患者，拟行手 术治疗。传统组釆用传统手术方法行乳腺肿瘤切除术，腔镜组采用腔镜技术行乳腺肿瘤切除术。术后 比较两组的手术时间、术中出血量、住院时间，术后第1天切口疼痛评分(VAS)、术后切口长度， 比较其临床效果。结果两组患者术中及术后病理均证实为良性肿瘤。腔镜组手术时间、术中出血量、 术后第1天切口疼痛评分(VAS)、住院时间和术后切口长度均小于传统组，差异有统计学意义 (PvO.05)。两组均无切口感染或皮肤坏死并发症。结论 腔镜下手术切除乳腺良性肿瘤，可减少手 术切口长麼，手术后乳腺表面无切口。且术中手术时间短，出血量少，术后切口疼痛轻，具有微创的 优点。但也需要合理选择患者。值得在临床屮推广使用。 ［关键词］腹腔镜；乳腺良性肿瘤；组织弹性成像技术；超声 ［中图分类号］R472.3 ［文献标识码］B ［文章编1673-9701 (2018) 01-0052-04 Experienee of endoscopic surgery resection of benign breast tumor DAI Mingshengl ZHAO Weijunl LUO Jungangl XU Chaoyang2 Department of Thyroid and Breast Surgery, Shaoxing Central Hospital in Zhejiang Provinee, Shaoxing 312030, China； 2.Department of Breast Surgery, Shaoxing Peopled Hospital in Zhejiang Province, Shaoxing 312030, China ［Abstract］ Objective To investigate the clinical effect of endoscopic surgery resection of benign breast tumor. Methods The patients with benign breast tumor located on outer upper or outer lower site of breast with diameter of 2 cm to 5 cm and less than 3 points by breast elastic ultrasound from January to December 2016 were selected and scheduled for surgery. Traditional group underwent breast tumor resection by traditional surgical methods. The endoscopic group was treated with endoscopic surgery for breast tumor resection. The operative time, intraoperative blood loss, hospitalization time, postoperative day 1 incisional pain score (VAS) and postoperative incision length were compared between the two groups. The clinical effect was compared? Results T