首页|麦默通微创旋切术与小切口传统手术治疗触诊阴性乳腺结节的疗效比较

麦默通微创旋切术与小切口传统手术治疗触诊阴性乳腺结节的疗效比较

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目的:分析乳腺结节病人(触诊阴性)采用小切口传统手术与麦默通微创旋切术的疗效比较。方法:选择2021年1月至2022年6月本院收治的70例乳腺结节病人(触诊阴性),随机数字表法分组,观察组及对照组,均n=35例。患者资料可比(P>0。05)。对照组行小切口传统手术,观察组展开麦默通微创旋切术,以手术各项指标、并发症发生情况、术后6个月乳房外形优良率、生活质量改善情况作为观察指标。结果:1)与对照组比较,观察组各项手术指标(术中出血量、手术切口长度、手术时间以及住院时间)均显著更优,具备统计学价值(P<0。05)。2)观察组经治疗后并发症(患侧肿痛、血肿、感染、皮肤瘙痒)发生率较对照组低(P<0。05)。3)术后6个月乳房外形优良率观察组高于对照组,对照组和观察组分别为80。00%、97。14%,统计差异显著(P<0。05)。4)生活质量指标治疗前,对照组和观察组比较无显著统计差异(P>0。05),生活质量指标治疗后两组均升高,观察组高于对照组(P<0。05)。结论:乳腺结节病人(触诊阴性)采用麦默通微创旋切术更优,可缩短患者手术时间和住院时间,预防各类并发症,可改善乳房外形和生活质量,建议广泛应用于临床。
Comparison of therapeutic effects between minimally invasive circumcision and small incision traditional surgery in the treatment of palpable negative breast nodules
Objective:To compare the therapeutic effects of small incision traditional surgery and minimally invasive circumci-sion with Maimutong in patients with breast nodules(negative palpation).Method:70 patients with breast nodules(negative palpation)admitted to our hospital from January 2021 to June 2022 were randomly divided into an observation group and a con-trol group,with n=35 cases each.Patient data is comparable(P>0.05).The control group underwent small incision tradi-tional surgery,while the observation group underwent Maimutong minimally invasive circumcision.The observation indicators included various surgical indicators,incidence of complications,excellent and good breast appearance rate at 6 months after sur-gery,and improvement in quality of life.Result:1)Compared with the control group,the observation group had significantly fewer surgical indicators[intraoperative bleeding volume,surgical incision length,surgical time,and hospitalization time],which had statistical value(P<0.05).2)The incidence of complications(swelling,pain,hematoma,infection,and skin itching on the affected side)in the observation group was lower than that in the control group after treatment(P<0.05).3)The excellent and good breast appearance rate in the observation group at 6 months after surgery was higher than that in the control group,with 80.00%and 97.14%in the control group and the observation group,respectively,with a significant difference(P<0.05).4)Before treatment,there was no significant difference in the quality of life indicators between the con-trol group and the observation group(P>0.05).After treatment,the quality of life indicators increased in both groups,and the observation group was higher than the control group(P<0.05).Conclusion:For patients with breast nodules(negative palpation),using Maimutong minimally invasive circumcision is more optimal,which can shorten the surgical and hospitaliza-tion time of patients,prevent various complications,improve breast appearance and quality of life.It is recommended to be widely used in clinical practice.

Negative palpation of breast nodulesComplicationsQuality of Life

王真波、吕亚杰

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莱西市妇幼保健计划生育服务中心乳腺外科,山东青岛 266600

莱西市人民医院普外科,山东 青岛 266600

触诊阴性乳腺结节 并发症 生活质量

2024

中外女性健康研究
武汉大学

中外女性健康研究

ISSN:2096-0417
年,卷(期):2024.(1)
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