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目的探讨经乳晕切口手术治疗乳腺纤维瘤患者的可行性。方法选取2014年1月至2016年7月鲅鱼圈区红旗满族镇中心卫生院收治的96例拟行手术治疗的乳腺纤维瘤患者作为研究对象,将所有受试者利用随机综合序贯法并遵循均等原则分为对照组与试验组,各48例。对照组患者择期实施传统放射状切口手术治疗,试验组患者行改良经乳晕切口手术治疗。比较两组患者手术相关指标及术后血肿、瘀斑大小、不能哺乳发生率,统计并发症和患者满意度情况。结果试验组患者手术时间及术后住院时间均明显短于对照组,术中失血量明显少于对照组,差异均有统计学意义(均P<0.05);试验组患者术后血肿大小和瘀斑大小均显著小于对照组,且不能哺乳发生率明显低于对照组,差异均有统计学意义(均P<0.05);试验组患者总满意度显著高于对照组,差异有统计学意义(P<0.05)。结论将乳晕切口手术应用于乳腺纤维瘤患者中安全高效,能够满足患者微创治疗的需求,可行性高。
Objective To investigate the feasibility of phacoemulsification incision in patients with breast fibroids. Methods From January 2014 to July 2016, 96 patients with breast fibroids undergoing surgical treatment in the Central Hospital of Hongqi Manchu Town in the Bayuquan district were enrolled as subjects. All subjects were randomized and followed the principle of equality The principle is divided into control group and experimental group, each 48 cases. Patients in the control group underwent elective radial incision surgery. The patients in the experimental group underwent surgical treatment of the areola incision. Surgical related indicators and postoperative hematoma, ecchymosis size, breastfeeding incidence, statistical complication and patient satisfaction were compared between the two groups. Results The operation time and postoperative hospital stay in experimental group were significantly shorter than those in control group. The blood loss in operation was significantly less than that in control group (all P <0.05). The hematoma size and stasis (P <0.05). The total satisfaction of test group was significantly higher than that of control group, the difference was statistically significant (P <0.05) P <0.05). Conclusion It is feasible and feasible to apply the areola incision to the patients with breast fibroids safely and efficiently and to meet the needs of minimally invasive treatment.