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外科研究与新技术（中英文）

外科研究与新技术 ›› 2021, Vol. 10 ›› Issue (3): 186-188.doi: 10.3969/j.issn.2095-378X.2021.03.008

• 论著 • 上一篇    下一篇

微创旋切术治疗乳腺良性病变临床效果评估

杜京丽1, 郭庆森2   

  1. 1.联勤保障部队第九○○医院莆田医疗区胸心外科,福建 莆田 351100;
    2.联勤保障部队第九○○医院莆田医疗区肿瘤内科,福建 莆田 351100
  • 收稿日期:2021-02-10 出版日期:2021-09-28 发布日期:2022-08-22
  • 通讯作者: 郭庆森,电子信箱：guohaiyun77@163.com
  • 作者简介:杜京丽（1976—）,女,大学本科,副主任医师,从事临床乳腺外科工作

Clinical effect evaluation of minimally invasive rotary surgery on benign breast lesions

DU Jingli1, GUO Qingsen2   

  1. 1. Department of Cardiothoracic Surgery, Putian Medical District, No. 900 Hospital of PLA, Putian 351100, Fujian, China;
    2. Department of Oncology, Putian Medical District, No. 900 Hospital of PLA, Putian 351100, Fujian, China
  • Received:2021-02-10 Online:2021-09-28 Published:2022-08-22

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摘要： 目的 探究微创旋切术治疗乳腺良性病变临床效果。方法 回顾性分析2019年6月—2020年12月间收治的127例乳腺良性病变患者的临床资料,按治疗方式的不同将其分为对照组（实施常规乳腺肿块切除术治疗,共60例）和研究组（实施微创旋切术治疗,共67例）。比较两组的肾上腺素水平、去甲肾上腺素水平、手术时间、瘢痕长度、伤口愈合时间、肿块残留率、并发症发生率。结果 经治疗,研究组的肾上腺素、去甲肾上腺素水平均低于对比组（P<0.05）。研究组的手术时间、瘢痕长度、伤口愈合时间均短于对比组（P<0.05）。研究组的肿块残留率为1.49%,低于对比组的10.00%（P<0.05）。研究组的并发症发生率为2.99%,低于对比组的16.67%（P<0.05）。结论 采用微创旋切术治疗乳腺良性病变,能缩短手术时间和伤口愈合时间,减少瘢痕增生,降低手术应激反应,肿块清除率高,且并发症少,安全性好。

关键词: 微创旋切术, 乳腺良性病变, 应激反应, 肿块残留率, 并发症, 瘢痕

Abstract: Objective To evaluate the clinical effect of minimally invasive rotary surgery on benign breast lesions. Methods The clinical data of 127 patients with benign breast lesions treated from June 2019 to December 2020 were retrospectively analyzed. According to treatment methods, they were divided into a control group （60 cases treated with conventional breast mass resection） and a study group （67 cases treated with minimally invasive rotary surgery）. The epinephrine （E） level, norepinephrine （NE） level, operation time, scar length, wound healing time, tumor residual rate, and complication rate were compared between the two groups. Results After treatment, the levels of E and NE in the study group were lower than those in the control group （P<0.05）; the operation time, scar length, and wound healing time in the study group were shorter than those in the control group （P<0.05）; the residual rate of mass in the study group was 1.49%, lower than 10.00% in the control group （P<0.05）; the incidence rate of complications in the study group was 2.99%, lower than 16.67% in the control group （P<0.05）. Conclusion The treatment of benign breast lesions with minimally invasive rotary surgery can shorten operation time and wound healing time, reduce scar hyperplasia and surgical stress response, increase mass clearance rate, with less complications and good safety.

Key words: Minimally invasive surgery, Benign breast lesion, Stress response, Residual rate of mass, Complication, Scar

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