文章摘要

乳腺微创旋切手术在乳腺触诊阴性病变中的临床应用

作者: 1黄勤杰, 1周健, 1范花, 1王俊磊, 1时雪亮
1 南通大学附属启东医院,启东市人民医院普外科,江苏 启东 226200
通讯: 周健 Email: 18962825118@163.com
DOI: 10.3978/j.issn.2095-6959.2020.10.024

摘要

目的:探析乳腺触诊阴性病变患者应用乳腺微创旋切手术的临床效果。方法:选取251例2017年12月至2020年3月在启东市人民医院治疗的乳腺触诊阴性病变患者为研究对象,均给予乳腺微创旋切手术治疗,总结分析患者术后病理结果、乳房外形优良率、手术相关指标、并发症发生情况及手术前后生存质量。结果:在251例患者中,术后病理结果显示良性244例,恶性7例;乳房外形优良率为96.41%,其中优者117例,良者125例;手术时间为(20.85±4.26) min,术中出血量为(4.05±1.03) mL,切口长度为(3.29±0.41) mm,住院时间为(2.06±0.37) d;并发症发生率为4.78%(12/251)。患者术后家庭角色、社会角色、语言、个性、精力和情绪评分分别为11.25±1.34,11.27±1.28,14.14±1.42,11.37±1.27,11.03±1.28和13.01±1.23,均明显高于术前,差异有统计学意义(P<0.05)。结论:乳腺触诊阴性病变患者应用乳腺微创旋切手术的临床效果十分显著,能够有效保持患者乳腺外形,提高患者生存质量,值得临床深入研究与推广应用。
关键词: 乳腺触诊;阴性病变;乳腺微创手术;乳房外形;并发症

Clinical application of minimally invasive circumcision in palpation negative breast lesions

Authors: 1HUANG Qinjie, 1ZHOU Jian, 1FAN Hua, 1WANG Junlei, 1SHI Xueliang
1 Department of General Surgery, Affiliated Qidong Hospital of Nantong University and Qidong People’s Hospital, Qidong Jiangsu 226200, China

CorrespondingAuthor: ZHOU Jian Email: 18962825118@163.com

Abstract

Objective: To explore the clinical effect of minimally invasive breast circumcision in patients with palpable negative breast lesions. Methods: A total of 251 patients with palpation negative breast lesions were enrolled in this study, who were treated in our hospital from December 2017 to March 2020. All patients were treated with minimally invasive circumcision of the breast. The pathological results, excellent rate of breast shape, operation related indicators, complications, and life quality before and after the operation were analyzed. Results: Among 251 patients, there were 244 patients with benign lesions and 7 patients with malignant lesions. And there were 117 patients with excellent appearance of breast shape, 125 patients with good appearance, yielding an excellent-to-good rate of 96.41% for breast shape. And the operation time was (20.85±4.26) min, the intraoperative hemorrhage was (4.05±1.03) mL, the incision length was (3.29±0.41) mm, the hospitalization time was (2.06±0.37) d; the incidence of complications was 4.78% (12/251). The postoperative scores of family role, social role, language, personality, energy and emotion were 11.25±1.34, 11.27±1.28, 14.14±1.42, 11.37±1.27, 11.03±1.28, and 13.01±1.23, respectively, which were significantly higher than those before the operation (P<0.05). Conclusion: The minimally invasive breast circumcision is effective in the treatment of patients with palpation negative breast lesions, which can effectively maintain the breast shape and improve the life quality and is worthy of further clinical research and application.
Keywords: palpation of breast; negative lesions; minimally invasive breast surgery; breast shape; complications