乳腺良性腫塊真空輔助切除術與傳統區段切除術的臨床對比研究

程少萍

【摘要】 目的：對比研究真空輔助切除術與傳統區段切除術在乳腺良性腫塊切除患者中的臨床應用價值。方法：隨機選取2013年2月-2016年3月高州市人民醫院收治的乳腺良性腫塊患者100例，分為對照組與觀察組。對照組50例實施乳腺良性腫塊傳統區段切除術，觀察組50例實施乳腺良性腫塊真空輔助切除術。比較兩組患者手術觀察指標、并發癥發生率及術后乳房外觀優良率。結果：觀察組手術時間、術后愈合時間均短于對照組，術中出血量少于對照組，切口長度小于對照組，術后疼痛評分低于對照組，差異均有統計學意義（P<0.05）。觀察組并發癥發生率（6.00%）低于對照組（20.00%），差異有統計學意義（P<0.05）。觀察組術后乳房外觀優良率（96.00%）高于對照組（80.00%），差異有統計學意義（P<0.05）。結論：真空輔助切除術可降低乳腺良性腫塊切除患者的并發癥發生率，提高乳房美觀度，具有耗時短、創傷小、疼痛輕等優點，是一種安全、有效的手術方式。

【關鍵詞】 乳腺良性腫塊； 真空輔助切除術； 傳統區段切除術

【Abstract】 Objective：To compare the clinical value of vacuum assisted resection and traditional segmental resection in the treatment of benign breast lumps.Method：A total of 100 cases of benign breast lumps were randomly selected in Gaozhou Peoples Hospital from February 2013 to March 2016.The patients were divided into the control group and the observation group，50 cases in each group.The control group was given traditional sections of breast benign lumps resection，the observation group was given breast benign lumps vacuum assisted resection.The incidence of complications and postoperative breast appearance of two groups were observed.Result：The operation time，postoperative healing time of the observation group were shorter than those of the control group，the intraoperative bleeding and the incision length were less than those of the control group，postoperative pain score was lower than that of the control group，the differences were statistically significant（P<0.05）.The incidence rate of complications of the observation group（6.00%） was lower than that of the control group（20.00%），and the difference was statistically significant（P<0.05）.The postoperative breast appearance rate of the observation group（96.00%） was higher than that of the control group（80.00%），the difference was statistically significant（P<0.05）.Conclusion：Vacuum assisted resection can reduce the incidence of benign breast lumps resection in patients with complications，improve breast appearance，has an advantages of short time，less trauma，less pain，is a safe and effective surgery.

【Key words】 Benign breast lumps； Vacuum assisted resection； Traditional segmental resection

First-authors address：Gaozhou Peoples Hospital，Gaozhou 525200，China

doi：10.3969/j.issn.1674-4985.2017.29.012

乳腺良性腫塊是一種常見的多發性疾病，多發于女性，發病率較高，且逐漸趨于年輕化，臨床主要表現為乳房腫塊、乳房腫痛等，對患者的生活質量與身心健康造成了嚴重影響[1]。目前臨床上對乳腺良性腫塊患者多采用手術切除方式，傳統的乳腺良性腫塊切除術并發癥發生率較高，隨著醫學技術的發展，真空輔助切除術逐漸被廣泛應用于臨床，取得了較好的臨床療效[2-3]。本次研究隨機選取2013年2月-2016年3月高州市人民醫院收治的100例乳腺良性腫塊患者作為研究對象，對比研究真空輔助切除術與傳統區段切除術在乳腺良性腫塊切除患者中的臨床應用價值，現報道如下。endprint

1 資料與方法

1.1 一般資料 選取2013年2月-2016年3月高州市人民醫院收治的乳腺良性腫塊患者100例，均為女性，按照隨機數字表法分為對照組與觀察組?！?br>