本文關(guān)鍵詞： 超聲檢查 外科手術(shù) 微創(chuàng)性 乳腺疾病 對比　出處：《貴州醫(yī)科大學(xué)學(xué)報(bào)》2016年12期 　論文類型：期刊論文

【摘要】：目的:對比經(jīng)超聲引導(dǎo)下微創(chuàng)旋切術(shù)與傳統(tǒng)切除術(shù)治療腋窩副乳腺的療效,評價(jià)微創(chuàng)旋切技術(shù)在切除腋窩副乳腺治療中的應(yīng)用價(jià)值。方法:148例乳腺外科女性患者分為旋切組(106例)和傳統(tǒng)組(48例),分別應(yīng)用超聲引導(dǎo)下的微創(chuàng)旋切術(shù)和傳統(tǒng)切除術(shù)進(jìn)行治療,觀察術(shù)中出血量,肌肉、血管神經(jīng)損傷情況;觀察術(shù)后感染、患肢腫脹、疼痛及功能狀態(tài);隨訪3~18個(gè)月,評價(jià)兩種手術(shù)方式的治療效果、患者滿意度及治療費(fèi)用。結(jié)果:在肌肉損傷/破壞方面,旋切組的發(fā)生率低于傳統(tǒng)組(P0.05);在術(shù)中出血方面,旋切組的發(fā)生率低于傳統(tǒng)組(P0.01);兩組手術(shù)在手術(shù)效果方面的比較,超聲引導(dǎo)下微創(chuàng)旋切術(shù)切除副乳腺較傳統(tǒng)切除術(shù)在切口大小和疤痕長度等手術(shù)效果指標(biāo)上,兩者有顯著性統(tǒng)計(jì)學(xué)差異(P0.01);旋切組和傳統(tǒng)組的治愈率相近,但是前者在手術(shù)時(shí)間、術(shù)后恢復(fù)、住院時(shí)間、手術(shù)創(chuàng)傷、術(shù)中術(shù)后并發(fā)癥、住院費(fèi)用等效果上,均顯著優(yōu)于傳統(tǒng)切除術(shù)。結(jié)論:超聲引導(dǎo)下的麥默通微創(chuàng)旋切術(shù)切除腋窩副乳腺,具有微創(chuàng)、美容、提高患者術(shù)后生活質(zhì)量高和產(chǎn)生更多社會(huì)效益的優(yōu)點(diǎn),有較高的應(yīng)用價(jià)值,值得在臨床上廣泛推廣。
[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.
【作者單位】： 南方醫(yī)科大學(xué)附屬小欖醫(yī)院普外科;
【基金】：廣東省中山市科技計(jì)劃醫(yī)療衛(wèi)生類科研一般項(xiàng)目(項(xiàng)目編號:20151A020322)
【分類號】：R445.1;R655.8

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