首页|经腋窝入路单孔充气法腔镜下切除术治疗乳腺良性肿瘤的可行性与临床效果分析

经腋窝入路单孔充气法腔镜下切除术治疗乳腺良性肿瘤的可行性与临床效果分析

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目的 探讨分析乳腺良性肿瘤治疗中采用经腋窝入路单孔充气腔镜下切除术的临床效果.方法 回顾性分析 2021 年 1 月至 2023 年 12 月医院收治的 20 例乳腺良性肿瘤患者的临床资料,入院后均行经腋窝入路单孔充气腔镜下切除术治疗,分析手术情况和临床效果.结果 20 例患者均完成手术,共切除肿瘤 47 枚,平均每例患者切除(2.0±1.1)枚肿瘤;单侧乳房的平均手术时间为(66.5±3.1)min,双侧乳房的平均手术时间为(110.7±6.8)min.内侧象限的单个肿瘤切除平均用时短于外侧象限,P<0.05;肿瘤直径>5.0cm 患者单个肿瘤的切除时间短于肿瘤直径≤5.0cm的患者,P<0.05.患者术后均未出现感染、出血等并发症.术后随访 3 个月,均无复发情况.20 例患者均对手术效果满意,治疗满意度为 100%.结论 经腋窝入路单孔充气腔镜下切除术对乳腺良性肿瘤的治疗效果理想,不但能完整切除肿瘤病灶,还具有较高的安全性和美观性.
Feasibility And Clinical Effect Analysis of Endoscopic Resection of Breast Benign Tumor by Single-hole Inflatable Via Axillary Approach
Objective:To explore and analyze the clinical effect of endoscopic resection of breast benign tumor with sin-gle-hole inflatable via axillary approach.Methods:The clinical data of 20 patients with breast benign tumor admitted to our hospital from January 2021 to December 2023 were analyzed retrospectively.After admission,they were all treated by single-hole endoscopic resection via axillary approach,and the operation situation and clinical effect were analyzed.Results:All the 20 patients completed the operation,and 47 tumors were removed,with an average of(2.0±1.1)tumors per patient.The average operation time of unilateral breast was(66.5±3.1)min,and that of bilateral breast was(110.7±6.8)min.The average time for resection of a single tumor in the medial quadrant was shorter than that in the lateral quadrant,P<0.05.The resection time of single tumor in patients with tumor diameter>5.0 cm was shorter than that in patients withtumor diameter≤5.0 cm,P<0.05.Therewereno complications suchas infection and bleeding after operation.Follow-up for 3 months after operation showed no recurrence.All 20 patients were satisfied with the surgical effect,and the treatment satisfaction rate was 100%.Conclusion:Single-port endo-scopic resection via axillary approach is effective in the treatment of benign breast tumors,which not only can com-pletely remove the tumor focus,but also has high safety and aesthetics.

Benign breast tumorAxillary approachEndoscopic resection of single-hole inflatable cavity

彭肃豹、林玉花、刘以举

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阳西总医院人民医院 529800

乳腺良性肿瘤 经腋窝入路 单孔充气腔镜下切除术

2024

生命科学仪器
北京市北分仪器技术公司

生命科学仪器

影响因子:0.305
ISSN:1671-7929
年,卷(期):2024.22(3)
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