局部肿胀麻醉技术在乳腺多发实性肿块Mammotome微创旋切术中的应用

发布时间：2018-02-08 16:50

本文关键词： 乳腺肿瘤乳房切除术最小侵入性外科手术麻醉局部　出处：《中国普通外科杂志》2017年05期 　论文类型：期刊论文

【摘要】：目的:探讨局部肿胀麻醉技术在乳腺多发实性肿块Mammotome微创旋切术中的临床应用效果。方法:随机选择2010年6月—2012年7月98例施行乳腺多发实性肿块Mammotome微创旋切术患者,其中49例行传统局部浸润麻醉(对照组),另49例行局部肿胀麻醉(观察组);对比两组患者的主要临床指标。结果:两组患者在年龄、肿块直径及肿块个数上的差异无统计学意义(均P0.05)。与对照组比较,观察组平均麻醉实施时间缩短(16.10 min vs.31.41 min)、手术时间减少(39.47 min vs.62.53 min)、麻醉剂降低(0.20 mg vs.0.31 mg)、麻醉效果良好率增高(96%vs.82%)、麻醉不良反应发生率低(0%vs.12%)、手术并发症发生率低(4%vs.18%),差异均有统计学意义(均P0.05)。结论:在乳腺多发实性肿块Mammotome微创旋切术中应用局部肿胀麻醉技术安全有效,临床效果显著,值得推荐使用。
[Abstract]:Objective: to investigate the clinical effect of local swelling anesthesia in minimally invasive Mammotome excision of multiple solid masses of breast. Methods: 98 patients with multiple solid masses of breast underwent Mammotome minimally invasive excision from June 2010 to July 2012. Among them, 49 cases were treated with traditional local infiltration anesthesia (control group) and 49 cases with local swelling anesthesia (observation group). There was no significant difference in the diameter and the number of masses between the two groups (P 0.05). In the observation group, the average duration of anaesthesia was shortened by 16.10 min vs.31.41, the operative time was reduced by 39.47 min vs.62.53, the anesthetic was decreased by 0.20 mg vs.0.31 MGG, the anesthetic effect was increased by 96vs.82C, the incidence of adverse drug reaction was low and the incidence of complications was lower than that of the control group (P < 0.05), and the incidence of complications was lower than that of the control group (P < 0.05). Conclusion: the technique of local swelling anesthesia is safe and effective in Mammotome minimally invasive excision of multiple solid masses of breast. The clinical effect is remarkable and worthy of recommendation.
【作者单位】：福建省厦门市妇幼保健院乳腺外科;
【分类号】：R614;R737.9

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