麦默通微创旋切术切除直径1cm良性乳腺肿块的临床疗效及其对病人免疫功能的影响

doi:10.3969/j.issn.10056483.2019.03.009

摘要/Abstract

摘要： 目的:研究麦默通微创旋切术切除直径1cm良性乳腺肿块的临床疗效及对病人免疫功能的影响。方法：直径1cm良性乳腺肿块病人200例，根据随机数字法分为观察组和对照组，每组100例。对照组采取传统的开放手术，观察组采取麦默通微创旋切术。观察病人的术中术后情况、免疫功能、并发症发生情况，评价手术美容效果和病人的心理满意度。结果：观察组的手术时间、术中出血量、瘢痕长度、术后愈合时间分别为（18.33±1.23）分钟、（4.43±1.21）ml、（2.98±0.22）mm和（4.52±0.84）天，对照组分别为（29.25±3.23）分钟、（13.56±2.44）ml、（24.54±2.58）mm和（6.87±1.52）天，两组比较差异有统计学意义（P<0.05）。观察组术后CD4+、CD8+、CD4+/CD8+分别为（38.57±3.61）%、（28.21±2.52）%和1.49±0.46，对照组分别为（39.98±4.53）%、（28.25±2.53）%和1.86±0.51，两组比较差异有统计学意义（P<0.05）。观察组和对照组美容效果为优良的病人分别为70.00%（70/100）和36.00%（36/100），心理满意度标准为高度的病人分别为75.00%（75/100）比43.00%（43/100）（P<0.05），局部感染、局部血肿、乳腺畸形的发生率分别为0、9%（9/100）、0和11.00%（11/100）、26.00%（26/100）、9.00%（9/100），两组比较差异有统计学意义（P<0.05）。结论：直径1cm良性乳腺肿块病人采取麦默通微创旋切术，手术时间、术中出血量、瘢痕长度、术后愈合时间较少，免疫功能影响较小，并发症发生率低，美容效果较好，有较高的心理满意度。

关键词: 麦默通微创旋切术, 良性乳腺肿块, 临床疗效, 免疫功能

Abstract: Objective：To study the clinical curative effect and the immune function influence of mammotome minimally invasive surgery on 1cm benign breast diseases.Methods：200 patients with 1cm benign breast lumps divided into observation group and control group according to the random number method，100 cases in each group.Control group were treated with traditional open surgery，observation group were takenmammotome minimally invasive surgery.Patients with intraoperative situation，immune function，complications following surgery，cosmetic effect and evaluation of surgery patients psychological satisfaction were observed.Results：Observation group with operation time，intraoperative blood loss，length of scar，postoperative healing time were significantly less than the control group[（18.33±1.23）min，（4.43±1.21）ml，（2.98±0.22）mm，（4.52±0.84）d VS（29.25±3.23）min，（13.56±2.44）ml，（24.54±2.58）mm，（6.87±1.52）d]（P<0.05）.After surgery，observation group of CD4+，CD8+，CD4+/CD8+ immune function index was significantly lower than the control group[（38.57±3.61）%，（28.21±2.52）%，（1.49±0.46）VS（39.98±4.53）%，（28.25±2.53）%，（1.86±0.51）]（P<0.05）.Cosmetic effect was excellent in observation group patients was significantly more than the control group [70.00%（70/100）VS 36.00%（36/100）]（P<0.05）.Patients psychological satisfaction was high in the observation group was significantly more than the control group [75.00%（75/100）VS 43.00%（43/100）]（P<0.05）.Local infection，local hematoma in the observation group，the incidence of breast deformity was significantly lower than the control group [0，9%（9/100），0 VS 11.00%（11/100），26.00%（26/100），9.00%（9/100）].Conclusion：Patients with 1cm benign breast lumps using mammotome minimally invasive surgery，operation time，intraoperative blood loss，length of scar，postoperative healing time is less，the immunefunction of patients with to the impact of small，low complication rates and better cosmetic effect，and the higher psychological satisfaction.

Key words: mammotome minimally invasive surgery, benign breast diseases, clinical curative effect, immune function

方红, 赵子伟, 韩雪, 姚永强. 麦默通微创旋切术切除直径1cm良性乳腺肿块的临床疗效及其对病人免疫功能的影响[J]. 临床外科杂志, 2019, 27(3): 205-208.

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