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目的:通过对我院乳腺肿瘤患者进行临床分析、观察诊断,对后间隙入路切除术的治疗过程及临床效果展开分析和探讨。方法:本次妇科医学实验活动所选择的研究对象为本院2011年04月份至2013年04月份期间,在我院手术治疗的乳腺肿瘤患者共计102例,以其在院期间原始病历资料作为此次分析研究活动的数据基础来源。这102例患者,均存在乳头溢液、生长缓慢、淋巴结肿大、月经期间乳房疼痛、乳房内存在硬块等现象。对患者采取丹麦B-K HAWK 2102EXL型彩色多普勒超声仪对患者乳腺肿块进行检测,经诊断确诊102例患者中良性乳腺肿瘤78例,恶性乳腺肿瘤24例。根据患者症状实施肿块切除手术,手术方法采用后间隙入路切除术。对手术中切口的设计、手术过程进行分析。结果:102例患者均顺利完成手,102例患者中,97例患者术后7日内完成拆线,无并发症现象,5例出现并发症,其中2例出现术后皮下血肿,对其进行了局部穿刺抽吸处理,经10日后伤口痊愈。2例患者术后出现感染现象,及时对其进行换药及抗病毒治疗,18日后痊愈。经过3个月至12个月的术后随访及复查,患者乳腺肿块无复发出现,总有效率达100%。结论:在妇科乳腺肿瘤手术治疗中,后间隙入路切除术是一种安全有效的治疗方法,具有成功率高,术后并发症少的优点,值得推广。
OBJECTIVE: To analyze and discuss the clinical course and clinical effect of posterior approach excision by analyzing the clinical data of patients with breast cancer in our hospital. Methods: The object of this gynecological medical experiment was selected from the hospital from April 2011 to April 2013. A total of 102 patients with breast cancer undergoing surgery in our hospital were recruited. Based on the original medical records during the period of hospitalization, Analyze the data sources of research activities. These 102 patients, there are nipple discharge, slow growth, enlarged lymph nodes, breast pain during menstruation, lumps in the breast and so on. B-K HAWK 2102EXL type Doppler was used to detect the breast mass in the patients. Among 102 patients diagnosed, there were 78 cases of benign breast tumors and 24 cases of malignant breast tumors. According to the patient’s symptoms of tumor resection operation, surgical approach using posterior clearance resection. The surgical incision design, surgical process analysis. Results: Of the 102 patients, 102 were successfully completed. Among the 102 patients, 97 patients completed the stitches removal within 7 days after operation, and no complication occurred. Five patients developed complications, including 2 cases of postoperative subcutaneous hematoma. Local puncture suction treatment, the wound recovered after 10 days. Two cases of postoperative infection, timely dressing and anti-virus treatment, cured after 18 days. After 3 months to 12 months postoperative follow-up and review, no recurrence of breast tumor patients, the total effective rate of 100%. Conclusion: In the surgical treatment of gynecologic breast tumors, posterior clearance resection is a safe and effective treatment, with the advantages of high success rate and less postoperative complications, which is worth promoting.