叶钢?王得胜

[摘要] 目的 探討比较乳腺良性肿块患者应用微创旋切术与传统手术治疗的临床效果。 方法 选取我院2012年5月～2016年5月收治且需行手术治疗的150例乳腺良性肿块患者，分析其临床诊治资料。据手术方式分为观察组（79例）和对照组（71例），观察组：微创旋切术，对照组：传统开放式切除术。记录对比两组手术的切口长度、手术用时、术中出血量、术后恢复时间等手术指标，并对比病灶切除率、术后复发率，以及包括术后感染、皮下淤血、局部小血肿等并发症情况，统计术后患者整体满意程度。 结果 观察组切口长度明显小于对照组（P<0.05），术中出血量显著少于对照组（P<0.05），手术用时和术后恢复时间均明显短于对照组（P<0.05）；观察组病灶切除率明显高于对照组（P<0.05），术后复发率明显低于对照组（P<0.05），并发症包括术后感染、皮下淤血和局部小血肿均显著低于对照组（P<0.05）；观察组术后患者的整体满意程度显著高于对照组（P<0.05）。 结论 乳腺良性肿块病症采用微创旋切术治疗创伤小，病灶切除率高，术后恢复时间短，复发率低，并发症少，患者整体满意度高，值得临床推广应用。

[关键词] 乳腺良性肿块；微创旋切术；传统切除术；对比

[中图分类号] R737.9 [文献标识码] A [文章编号] 2095-0616（2017）16-201-04

Clinical analysis of minimally invasive surgery and traditional surgery in the treatment of benign breast mass

YE Gang1 WANG Desheng2

1.Department of General Surgery， Guangming New District Peoples Hospital， Guangdong， Shenzhen 523710， China； 2.Department of General Surgery， Shekou Peoples Hospital， Guangdong， Shenzhen 518067， China

[Abstract] Objective To investigate the clinical effect of minimally invasive surgery and traditional surgery in the treatment of benign breast mass. Methods 150 patients with benign breast mass in our hospital from May 2012 to May 2016were selected， and their clinical data were analyzed. According to the operation mode， they were devided into the observation group （79 cases） and the control group （71 cases）. Patients in the observation group were treated with minimally invasive surgery， while patients in the control group were treated with the traditional open resection. The operation incision length， operation time， bleeding volume， postoperative recovery time， the excision rate， recurrence rate， and postoperative infection， subcutaneous congestion， local hematoma and other complications after operation were recorded and compared， and the postoperative whole satisfaction degree of patients was also recorded. Results The incision length in the observation group was significantly less than that in the control group （P<0.05）， the amount of postoperative bleeding volume was significantly less than the control group （P<0.05）， the operation time and postoperative recovery time were significantly shorter than the control group （P<0.05）. The resectebility rate in the observation group was significantly higher than the control group （P<0.05）. The recurrence rate was significantly lower than the control group （P<0.05）. The complications including postoperative infection， subcutaneous congestion and local hematoma were significantly lower than the control group （P<0.05）. The whole satisfaction degree of patients in the observation group was significantly higher than the control group （P<0.05）. Conclusion The minimally invasive surgery the treatment of benign breast mass has small trauma， high resection rate， short postoperative recovery time， low recurrence rate， fewer complications， and high overall satisfaction degree. It is worthy of clinical application.endprint

[Key words] Benign breast mass； Minimally invasive surgery； Traditional resection； Contrast

乳腺疾病中最常见的为乳腺良性肿块，占据总比例的60%～70%[1]。近年来乳腺良性肿块发病率持续增加，对患者身体健康和生活带来不利影响；且随着人们生活水平的改善，女性保健意识不断提高，人们越来越关注乳腺良性肿块的治疗[2]。传统治疗方式为乳房肿块切除，虽效果明显但创伤大，且给患者带来术后乳房表面留下瘢痕甚至乳房变形的顾虑和苦恼。

2004年，微创旋切术首次在临床上得到应用，美国食品及药物监督管理局批准将微创旋切术应用于乳腺肿块切除[3]。该术凭借着定位精准、创伤小、手术时间短，术后恢复快、复发率低、对外观影响小等优点[4]，受到了很多医生和患者的欢迎。截止2014年，微创旋切术在世界上已有超过200万的临床应用实例，临床疗效较好。……