超声引导下微创旋切术切除腋窝副乳腺的效果

发布时间：2018-02-27 22:47

本文关键词： 超声检查外科手术微创性乳腺疾病对比　出处：《贵州医科大学学报》2016年12期 　论文类型：期刊论文

【摘要】：目的:对比经超声引导下微创旋切术与传统切除术治疗腋窝副乳腺的疗效,评价微创旋切技术在切除腋窝副乳腺治疗中的应用价值。方法:148例乳腺外科女性患者分为旋切组(106例)和传统组(48例),分别应用超声引导下的微创旋切术和传统切除术进行治疗,观察术中出血量,肌肉、血管神经损伤情况;观察术后感染、患肢肿胀、疼痛及功能状态;随访3~18个月,评价两种手术方式的治疗效果、患者满意度及治疗费用。结果:在肌肉损伤/破坏方面,旋切组的发生率低于传统组(P0.05);在术中出血方面,旋切组的发生率低于传统组(P0.01);两组手术在手术效果方面的比较,超声引导下微创旋切术切除副乳腺较传统切除术在切口大小和疤痕长度等手术效果指标上,两者有显著性统计学差异(P0.01);旋切组和传统组的治愈率相近,但是前者在手术时间、术后恢复、住院时间、手术创伤、术中术后并发症、住院费用等效果上,均显著优于传统切除术。结论:超声引导下的麦默通微创旋切术切除腋窝副乳腺,具有微创、美容、提高患者术后生活质量高和产生更多社会效益的优点,有较高的应用价值,值得在临床上广泛推广。
[Abstract]:Objective: to compare the efficacy of ultrasound guided minimally invasive excision and traditional excision in the treatment of axillary accessory mammary gland. To evaluate the value of minimally invasive gynecotomy in the treatment of axillary accessory mammary glands. Methods 148 female breast surgery patients were divided into two groups, 106 cases in the gynecotomy group and 48 cases in the traditional group. Excision for treatment, Blood loss, muscle and nerve injury, postoperative infection, swelling of affected limbs, pain and functional status were observed, followed up for 3 ~ 18 months to evaluate the therapeutic effects of the two methods. Results: the incidence of muscle injury / destruction in the rotary group was lower than that in the traditional group (P 0.05), the incidence of bleeding in the rotation group was lower than that in the traditional group (P 0.01). Ultrasound guided minimally invasive excision of accessory mammary gland was more effective than traditional excision in terms of incision size and scar length, there was significant difference between the two groups (P 0.01), the cure rate of rotary group and traditional group was similar, but the former was in the operation time. The effects of postoperative recovery, hospitalization time, surgical trauma, postoperative complications and hospitalization cost were significantly better than those of traditional excision. Conclusion: the minimally invasive mastectomy of axillary accessory mammary gland with minimally invasive surgery under the guidance of ultrasound has the advantages of minimally invasive, cosmetic, and so on. It is worth popularizing widely in clinic because of the advantages of high quality of life and more social benefits after operation.
【作者单位】：南方医科大学附属小榄医院普外科;
【基金】：广东省中山市科技计划医疗卫生类科研一般项目(项目编号:20151A020322)
【分类号】：R445.1;R655.8

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