摘要
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.
Abstract
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.
维普
万方数据