腔镜下手术切除乳腺良性肿瘤体会.docVIP

腔镜下手术切除乳腺良性肿瘤体会 　　[摘要] 目的 探?腔镜下手术切除乳腺良性肿瘤的临床效果。 方法 选择2016年1～12月收治的直径2～5 cm、乳腺弹性B超评分为3分以下、位于乳腺外上或外下的乳腺良性肿瘤患者，拟行手术治疗。传统组采用传统手术方法行乳腺肿瘤切除术，腔镜组采用腔镜技术行乳腺肿瘤切除术。术后比较两组的手术时间、术中出血量、住院时间，术后第1天切口疼痛评分（VAS）、术后切口长度，比较其临床效果。 结果 两组患者术中及术后病理均证实为良性肿瘤。腔镜组手术时间、术中出血量、术后第1天切口疼痛评分（VAS）、住院时间和术后切口长度均小于传统组，差异有统计学意义（P0.05）。两组均无切口感染或皮肤坏死并发症。 结论 腔镜下手术切除乳腺良性肿瘤，可减少手术切口长度，手术后乳腺表面无切口。且术中手术时间短，出血量少，术后切口疼痛轻，具有微创的优点。但也需要合理选择患者。值得在临床中推广使用。 　　[关键词] 腹腔镜；乳腺良性肿瘤；组织弹性成像技术；超声 　　[中图分类号] R472.3 [文献标识码] B [文章编号] 1673-9701（2018）01-0052-04 　　Experience of endoscopic surgery resection of benign breast tumor 　　DAI Mingsheng1 ZHAO Weijun1 LUO Jungang1 XU Chaoyang2 　　1.Department of Thyroid and Breast Surgery， Shaoxing Central Hospital in Zhejiang Province， Shaoxing 312030， China； 2.Department of Breast Surgery， Shaoxing Peoples Hospital in Zhejiang Province， Shaoxing 312030， China 　　[Abstract] Objective To investigate the clinical effect of endoscopic surgery resection of benign breast tumor. Methods The patients with benign breast tumor located on outer upper or outer lower site of breast with diameter of 2 cm to 5 cm and less than 3 points by breast elastic ultrasound from January to December 2016 were selected and scheduled for surgery. Traditional group underwent breast tumor resection by traditional surgical methods. The endoscopic group was treated with endoscopic surgery for breast tumor resection. The operative time， intraoperative blood loss， hospitalization time， postoperative day 1 incisional pain score（VAS） and postoperative incision length were compared between the two groups. The clinical effect was compared. Results The tumors of two groups of patients with confirmed as benign tumors by intraoperative and postoperative pathology. The operation time， intraoperative blood loss， postoperative day 1 incisional pain score（VAS）， hospitalization time and postoperative incision length were lower than those of the traditional group， and the difference was statistically significant（P 　　[Key words] Lapar