乳腔镜改进法在乳房良性疾病中的应用
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摘要
目的探讨乳腔镜手术方法治疗乳腺良性疾病的临床效果。方法将乳腺良性病变患者102例根据手术方式分为两组,分别采用未改进乳腔镜法(未改进组,49例)和乳腔镜改进法(改进组,53例)。比较两组手术时间、切口愈合情况及术后并发症发生情况。结果改进组吸脂时间、手术时间和切口愈合时间明显短于未改进组(P<0.05);改进组乳头皮瓣坏死、切口瘢痕愈合、上肢活动受限、上肢麻痹及疼痛等术后并发症发生率低于未改进组(P<0.05)。结论乳腔镜改进手术应用于乳腺良性疾病可缩短手术时间,降低并发症发生率,值得推广。
Objective To discuss the clinical effect of mastoscopic in the treatment of breast benign diseases. Methods A total of 102 patients with benign breast disease were divided into two groups according to the operation modes. The two groups used the un-improved breast endoscopy(un-modified group, 49 cases) and the mastoscopic modified surgery(modified group, 53 cases) respectively. The operation time, wound healing and postoperative complications were compared between the two groups. Results The liposuction time, operation time and wound healing time of the modified group were shorter than those of the un-modified group(P<0.05). The incidences of wound scar, nipple flap necrosis, limit activity of upper limb, pain and upper limb paralysis in the modified group were lower than those in the un-modified group(P<0.05).Conclusion The mastoscopic modified surgery in the treatment of breast benign disease can shorten the operation time and reduce the incidence of complications, which is worth popularizing.
Objective To discuss the clinical effect of mastoscopic in the treatment of breast benign diseases. Methods A total of 102 patients with benign breast disease were divided into two groups according to the operation modes. The two groups used the un-improved breast endoscopy(un-modified group, 49 cases) and the mastoscopic modified surgery(modified group, 53 cases) respectively. The operation time, wound healing and postoperative complications were compared between the two groups. Results The liposuction time, operation time and wound healing time of the modified group were shorter than those of the un-modified group(P<0.05). The incidences of wound scar, nipple flap necrosis, limit activity of upper limb, pain and upper limb paralysis in the modified group were lower than those in the un-modified group(P<0.05).Conclusion The mastoscopic modified surgery in the treatment of breast benign disease can shorten the operation time and reduce the incidence of complications, which is worth popularizing.
引文
[1]RAMIREZ OM.Endoscopic full facelift[C]//Plastic Surgical Forum.ASPRS PSEF ASMS,1994:17.
[2]SAIMURA M,MITSUYAMA S,ANAN K,et al.Endoscopy-assisted breastconserving surgery for early breast cancer[J].Asian J Endosc Surg,2013,6(3):203-208.
[3]雷秋模.实用乳腺病学[M].北京:人民军医出版社,2012:123.
[4]KITAMURA K,HASHIZUME M,SUGIMACHI K,et al.Early experience of endoscopic extirpation of benign breast tumors via an extramammary incision[J].Am J Surg,1998,176(3):235-238.
[5]姜军.腔镜技术在乳腺疾病治疗中的地位及其评价[J].中国实用外科杂志,2010,30(3):195-197.
[6]SUZANNE F,EMERING C,WATTIEZ A,et al.Axillary lymphadenectomy by lipo-aspiration and endoscopic picking.Apropos of 72 cases[J].Chirurgie,1997,122(2):142-143.
[7]朱婕,陈彩央,施勇.乳腔镜下乳腺良性肿瘤切除术的手术配合[J].护理与康复,2014,13(10):76-77.
[8]杨振方.手术刀对乳腺癌根治术后皮瓣坏死发生的影响[J].中国医学创新,2012,9(5):33-34.
[9]PINSOLLE V,GRINFEDER C,MATHOULIN-PELISSIER S,et al.Complications analysis of 266 immediate breast reconstructions[J].J Plast Reconstr Aesthet Surg,2006,59(10):1017-1024.
[10]LOSKEN A,SCHAEFER TG,CARLSON GW,et al.Immediate endoscopic latissim-us dorsi flap:risk or benefit inreconstructing partial mastectomy defects[J].Ann Plast Surg,2004,53(1):1-5.
[2]SAIMURA M,MITSUYAMA S,ANAN K,et al.Endoscopy-assisted breastconserving surgery for early breast cancer[J].Asian J Endosc Surg,2013,6(3):203-208.
[3]雷秋模.实用乳腺病学[M].北京:人民军医出版社,2012:123.
[4]KITAMURA K,HASHIZUME M,SUGIMACHI K,et al.Early experience of endoscopic extirpation of benign breast tumors via an extramammary incision[J].Am J Surg,1998,176(3):235-238.
[5]姜军.腔镜技术在乳腺疾病治疗中的地位及其评价[J].中国实用外科杂志,2010,30(3):195-197.
[6]SUZANNE F,EMERING C,WATTIEZ A,et al.Axillary lymphadenectomy by lipo-aspiration and endoscopic picking.Apropos of 72 cases[J].Chirurgie,1997,122(2):142-143.
[7]朱婕,陈彩央,施勇.乳腔镜下乳腺良性肿瘤切除术的手术配合[J].护理与康复,2014,13(10):76-77.
[8]杨振方.手术刀对乳腺癌根治术后皮瓣坏死发生的影响[J].中国医学创新,2012,9(5):33-34.
[9]PINSOLLE V,GRINFEDER C,MATHOULIN-PELISSIER S,et al.Complications analysis of 266 immediate breast reconstructions[J].J Plast Reconstr Aesthet Surg,2006,59(10):1017-1024.
[10]LOSKEN A,SCHAEFER TG,CARLSON GW,et al.Immediate endoscopic latissim-us dorsi flap:risk or benefit inreconstructing partial mastectomy defects[J].Ann Plast Surg,2004,53(1):1-5.