Clinical Effect of Minimally Invasive Vacuum-assisted Breast Gyrotomy in the Treatment of Breast Fibroma
Objective To investigate the clinical effect of minimally invasive vacuum-assisted breast gyrotomy in the treatment of breast fibroma.Methods Ninety-two patients with breast fibroma admitted to the author's hospital from September 2019 to September 2020 were randomly divided into observation group(n=46,vacuum-assisted minimally invasive breast gyrotomy)and control group(n=46,circumareolar incision).The perioperative indicators(operation time,intraoperative blood loss,incision length,incision healing time),aesthetic effects(breast symmetry,depression degree,texture and elasticity,skin color),sensory nerve function damage in areola area,complications(breast deformation,subcutaneous hematoma,skin damage,subcutaneous ecchymosis),tumor recurrence rate and postoperative complications were analyzed by statistical methods Tumor residual rate.Results After operation,the operation time and incision healing time of the observation group were shorter than those of the control group,the intraoperative blood loss was less than that of the control group,and the incision length was shorter than that of the control group,the differences were statistically significant(P＜0.05).One month after operation,the excellent and good rate of aesthetic effect in the observation group was higher than that in the control group(P＜0.05).The proportions of patients with normal sensory nerve function in areola area at 1 day and 6 months after operation in the observation group were 43.48%and 91.30%,which were higher than 23.91%and 73.91%in the control group(P＜0.05).After operation,the residual rate and recurrence rate of tumor in the observation group were lower than those in the control group(P＜0.05),and there was no significant difference in the incidence of complications between the two groups(P＞0.05).Conclusion Vacuum-assisted minimally invasive mastectomy can reduce perioperative indicators and postoperative complications,with good aesthetic effect and low tumor residual rate and recurrence rate,which is worthy of clinical application.
vacuum-assisted minimally invasive breast gyrotomycircumareolar incisionbreast fibromaaesthetic effectrecurrence
万方数据
维普
