首页|经腋下单孔免充气腔镜辅助青春期乳腺纤维腺瘤切除术60例报告

经腋下单孔免充气腔镜辅助青春期乳腺纤维腺瘤切除术60例报告

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目的 探讨经腋下单孔免充气腔镜辅助青春期乳腺纤维腺瘤切除术的应用价值。方法 回顾性分析2019年6月~2023年6月乳腺纤维腺瘤60例资料。年龄13~19岁,平均17。3岁。单侧肿瘤54例,双侧6例。肿瘤数1~13个,平均2。5个。肿瘤最大径3~10 cm,平均4。0 cm。采用经腋下单孔免充气腔镜辅助乳腺纤维腺瘤切除术。结果 60例手术时间35~130 min,平均64。9 min,术中出血量<20 ml。术后并发症5例(8。3%)。术后3个月BREAST-Q量表中社会心理健康评分从79。2±8。9升高到83。4±9。9(P<0。001)。结论 经腋下单孔免充气腔镜辅助乳腺纤维腺瘤切除手术,对于多发性或巨大纤维腺瘤的青春期患者安全有效,切口隐蔽。
Adolescent Breast Fibroadenoma Excision Surgery Assisted by Transaxillary Single-port Gasless Endoscopy:Report of 60 Cases
Objective To explore application value of transaxillary single-port gasless endoscopic-assisted fibroadenomas excision in adolescents.Methods A retrospective analysis was conducted on clinical data of 60 cases of fibroadenoma from June 2019 to June 2023.The patients were 17.3(range,13-19)years old.There were 54 cases of unilateral tumors and 6 cases of bilateral tumors.The average number of tumors was 2.5(range,1-13),and the mean tumor diameter was 4.0(range,3-10)cm.The fibroadenoma excision was performed by using transaxillary single-port gasless endoscopy.Results Of the 60 patients,the average operation time was 64.9(range,35-130)min and the intraoperative blood loss was less than 20 ml.Postoperative complications occurred in 5 cases(8.3%).At 3 months after surgery,the psychosocial well-being scores of BREAST-Q Scale were increased from(79.2±8.9)to(83.4±9.9)(P<0.001).Conclusion Transaxillary single-port gasless endoscopic-assisted fibroadenomas excision is safe and effective for multiple or large fibroadenomas in adolescents,offering minimal invasion and concealed incision.

EndoscopyTransaxillaryAdolescenceMultipleGiantFibroadenoma

陈海英、李航、郑子芳、郑佳英、蔡志银、苏思盈、林力生

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莆田学院附属医院乳腺外科,莆田 351100

腔镜 经腋下 青春期 多发性 巨大 纤维腺瘤

民营健康医疗大数据应用福建省高等学校工程研究中心开放基金

KF2020008

2024

中国微创外科杂志
北京大学

中国微创外科杂志

CSTPCD北大核心
影响因子:2.21
ISSN:1009-6604
年,卷(期):2024.24(4)
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