經(jīng)腋前線單切口腔鏡輔助乳腺纖維瘤手術(shù)與常規(guī)手術(shù)的比較

李振宇　馮云　張振　曹效忠

[摘要]目的 對(duì)乳腺纖維瘤患者采用常規(guī)手術(shù)與經(jīng)腋前線單切口腔鏡手術(shù)的效果進(jìn)行分析。方法 該院于2012年5月—2013年5月份收治72例乳腺纖維瘤患者，將其平均分為實(shí)驗(yàn)組（n=36）和對(duì)照組（n=36），對(duì)照組患者進(jìn)行常規(guī)手術(shù)，實(shí)驗(yàn)組進(jìn)行經(jīng)腋前線單切口腔鏡手術(shù)，對(duì)實(shí)驗(yàn)和對(duì)照兩組患者手術(shù)后的效果進(jìn)行分析。結(jié)果 經(jīng)過兩組患者術(shù)后的情況比較來看，實(shí)驗(yàn)組患者其住院時(shí)間、出血量、手術(shù)時(shí)間、切口長度以及切口至病灶遠(yuǎn)端距離等都明顯優(yōu)于對(duì)照組患者差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 乳腺纖維瘤患者采用經(jīng)腋前線單切口腔鏡手術(shù)，其安全性更高、操作性更合理。患者的病情恢復(fù)情況顯著提高，并且住院時(shí)間、手術(shù)時(shí)間以及出血量等問題都得到了有效的提高，在臨床醫(yī)學(xué)中具有重要的意義，值得推廣。

[關(guān)鍵詞]經(jīng)腋前線單切口腔鏡；乳腺纖維瘤手術(shù)；常規(guī)手術(shù)

[中圖分類號(hào)]R5 [文獻(xiàn)標(biāo)識(shí)碼]A [文章編號(hào)]1674-0742（2015）04（b）-0014-03

Comparison between routine opertation and breastfibroma operation assisted by single-incision laparoscopic operation through anterior axillary line

LI Zhenyu FENG Yun ZHANG Zhen CAO Xiaozhong

Department of General Surgery， Luoyang Central Hospital Affiliated to Zhengzhou University， Luoyang， Henan Province， 471009， China

[Abstract] Objective To compare the effects of routine opertation and single-incision laparoscopic operation through anterior axillary line for the patients with Breast Fibroma.Methods 72 patients with Breast Fibroma admitted in our hospital from May 2012 to May 2013 were equally divided into experimental group （n=36） and control group （n=36）. Routine operation was performed in the control group， while single-incision laparoscopic operation through anterior axillary line was performed in the experimental group， the operation effects were compared betweent the two groups.Results The postoperative indexes including hospitalization time， bleeding volume， operation time， length of incision and distance between incision and distal end of lesions of patients in the experimental group were much better than patients in the control group， and the differences were statistically significant（P<0.05）.Conclusion The single-incision laparoscopic operation through anterior axillary line with the characteristics of higher safety and convenient operation can improve the condition of the patients and positively adjust the hospitalization time， bleeding volume and operation time， so it is worth popularizing.

[key words] Single-incision laparoscopic operation through anterior axillary line；Breast adenofibroma resection； Routine operation

乳腺纖維瘤疾病目前其發(fā)病率不斷的增加，其發(fā)病人群主要集中在青春期的女性。對(duì)于此類疾病的治療方法只有進(jìn)行手術(shù)切除，對(duì)于常規(guī)的手術(shù)來說，其手術(shù)治療后都會(huì)在乳房的表面留下疤痕，這為患者帶來了很大的困擾[1]。伴隨醫(yī)療事業(yè)的不斷深入，我國對(duì)于此類疾病的治療采用了腔鏡輔助手術(shù)，主要就是采用經(jīng)腋前線單切口來實(shí)現(xiàn)乳腺纖維瘤的切除，這樣就可以減輕乳房表面的切口問題。為對(duì)乳腺纖維瘤患者采用常規(guī)手術(shù)與經(jīng)腋前線單切口腔鏡手術(shù)的效果進(jìn)行分析，整群選取該院2012年5月—2013年5月份收治72例乳腺纖維瘤患者，對(duì)其進(jìn)行常規(guī)手術(shù)與經(jīng)腋前線單切口腔鏡輔助手術(shù)的對(duì)比分析，報(bào)道如下。

1 資料與方法

1.1 一般資料

該院收治的72例乳腺纖維瘤患者，將其平均分為實(shí)驗(yàn)組（n=36）和對(duì)照組（n=36），對(duì)照組患者進(jìn)行常規(guī)手術(shù)，最高年齡為45歲，最低年齡為27歲，平均年齡為（28.45±0.56）；實(shí)驗(yàn)組進(jìn)行經(jīng)腋前線單切口腔鏡手術(shù)，最高年齡為48歲，最低年齡為26歲，平均年齡為（30.12±0.35）歲。兩組患者其病灶對(duì)比，見表1。