Comparison on the clinical effects of conventional surgery and minimally invasive surgery in the treatment of benign breast tumors
Objective To compare the clinical effects of conventional surgery and minimally invasive surgery in the treatment of benign breast tumors.Methods The clinical data of 84 patients with benign breast tumors were retrospectively analyzed,of which 32 patients received conventional surgery and served as the conventional group,and 52 patients received minimally invasive surgery and served as the minimally invasive group.The surgical indicators,stress response,complication rate and recurrence rate were compared between the two groups.Results The minimally invasive group had less intraoperative blood loss of(4.25±0.85)ml than(13.30±2.80)ml in the conventional group;the minimally invasive group had operation time of(17.45±2.85)min,incision healing time of(3.60±1.10)d,hospitalization time of(5.80±1.32)d,scar length of(3.15±0.50)mm,which were shorter than(36.35±4.80)min,(6.90±1.85)d,(8.15±2.38)d,(37.45±4.65)mm in the conventional group;the minimally invasive group had lower visual analogue scale(VAS)score of(3.00±1.10)points on the first day after surgery,which was lower than(5.50±1.80)points in the conventional group(P<0.05).The levels of cortisol(Cor),epinephrine(E)and norepinephrine(NE)were(18.45±2.65)μg/dl,(142.84±15.42)ng/L and(12.25±2.54)ng/L in the minimally invasive group at 3 d after surgery,which were lower than(35.25±5.60)μg/dl,(245.29±28.65)ng/L and(28.46±5.25)ng/L in the conventional group(P<0.05).The incidence of postoperative complications in the minimally invasive group was 1.92%,which was lower than 15.63%in the conventional group(χ2=5.607,P=0.018<0.05).There was no significant difference in recurrence rate between the two groups(χ2=0.030,P=0.863>0.05).Conclusion Both conventional surgery and minimally invasive surgery is effective in the treatment of benign breast tumors.Compared with conventional surgery,the minimally invasive surgery has less trauma,and can speed up postoperative recovery,reduce the pain and stress reaction of patients,and reduce the risk of complications.
Benign breast tumorsConventional surgeryMinimally invasive surgeryStress responseComplicationsRecurrence rate
NETL
NSTL
万方数据
维普
