金钟奎　刘长山　徐旺

[摘要] 目的 分析探討采用腔镜辅助小切口乳腺癌根治术近期的临床疗效。 方法 选取2014年11月～2015年11月我院收治的0～Ⅱ期乳腺癌患者50例作为试验组，进行腔镜辅助小切口乳腺癌改良根治术；选取既往相同分期乳腺癌患者50例作为对照组，进行传统改良根治术。比较两组患者的胸壁切口、术中出血量、手术时间、引流时间等观察指标以及术后并发症的发生率。 结果 试验组患者胸壁切口长度（9.03±1.99）cm、手术时间（94.04±10.32）min、手术中出血量（31.20±5.21）mL、引流时间（7.23±2.22）d、术后引流总量（132.49±30.02）mL，均明显小于对照组患者胸壁切口长度（17.38±2.14）cm、手术时间（121.45±11.25）min、手术中出血量（53.98±6.14）mL、引流时间（12.56±3.97）d、术后引流总量（172.67±41.23）mL，差异有统计学意义（P<0.05）；随访期间患者无复发和转移，两组患者并发症发生率差异无统计学意义（P>0.05）。 结论 腔镜辅助小切口乳腺癌改良根治术有利于乳房的重建，可明显减少术中出血量、缩短手术和引流所用时间，治疗效果较好，值得临床大力推广使用。

[关键词] 腔镜；小切口乳腺癌改良根治术；近期疗效

[中图分类号] R737.9 [文献标识码] B [文章编号] 1673-9701（2017）16-0039-03

[Abstract] Objective To analyze and explore the recent clinical efficacy of endoscope-assisted modified radical mastectomy with small incision. Methods A total of 50 patients with stage 0-Ⅱ breast cancer who were treated in our hospital from November 2014 to November 2015 were selected as the experimental group. The patients underwent endoscope-assisted modified radical mastectomy with small incision. The clinical data of 50 breast cancer patients with the same stage who underwent traditional modified radical mastectomy were used as the control group.The indicators including thoracic wall incision， intraoperative blood loss， operation time， drainage time and the probability of postoperative complications between the two groups were compared. Results The length of thoracic wall incision （9.03±1.99） cm， operation time（94.04±10.32） min， the amount of bleeding in operation（31.20±5.21） mL， the time of drainage（7.23±2.22） d and the total postoperative drainage （132.49±30.02）mL in the experimental group were significantly less than the length of thoracic wall incision（17.38±2.14） cm， operation time（121.45±11.25） min， the amount of bleeding in operation （53.98±6.14） mL， the time of drainage（12.56±3.97）d and the total postoperative drainage （172.67±41.23）mL in the control group， and the difference between the two groups was significant（P<0.05）. The patients had no recurrence and metastasis during follow-up. There was no significant difference in the incidence of complications between the two groups（P>0.05）. Conclusion Endoscope-assisted modified radical mastectomy with small incision is conducive to the reconstruction of the breast， with significantly less intraoperative blood loss， and can shorten the time of surgery and drainage，which has a good treatment effect， is worthy of clinical promotion.

[Key words] Endoscope； Modified radical mastectomy with small incision； Recent efficacy

乳腺癌是女性群体中发病率较高的肿瘤之一，严重影响身心健康，保留乳房是Ⅰ、Ⅱ期患者治疗的方式，一部分患者选择乳房切除，但是顾虑到体型的美观，因此提高生活质量成为外科医生需要解决的重点[1]。为了进一步研究腔镜辅助小切口乳腺癌改良根治术的临床疗效，特选取我院采用此种方法治疗的患者50例进行研究，现报道如下。

1 资料与方法

1.1 一般资料

选取2014年11月～2015年11月我院收治的0～Ⅱ期乳腺癌患者50例作为试验组，进行腔镜辅助小切口乳腺癌改良根治术；……