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目的探讨经腋前线单切口腔镜辅助乳腺纤维瘤手术的安全性及疗效。方法 42例乳腺纤维瘤患者,根据手术方式分为腔镜组(26例)和常规组(16例)。常规组患者采用常规乳腺纤维瘤手术治疗,腔镜组患者采用经腋前线单切口腔镜辅助乳腺纤维瘤手术治疗。比较两组手术一般情况(切口大小、切口与病灶远端距离)、术中情况(手术时间、术中出血量)、术后情况(并发症、住院时间)。结果两组患者均顺利完成手术。腔镜组切口大小为(2.5±0.4)cm、手术时间为(32.5±14.2)min、出血量为(3.2±0.7)g、住院时间为(3.0±0.5)d,明显优于常规组的(2.9±0.8)cm、(42.1±15.1)min、(5.0±0.8)g、(3.5±0.7)d,差异具有统计学意义(P<0.05);腔镜组切口至病灶远端距离为(8.8±2.5)min,明显长于常规组的(1.5±1.0)min,差异具有统计学有意义(P<0.05)。两组患者术后均未出现皮下积液和皮肤瘀斑等并发症。结论经腋前线单一小切口置入腔镜辅助乳腺纤维瘤病灶切除术可获得与常规手术一样的手术效果,且不会在乳房表面遗留瘢痕,患者易于接受。
Objective To investigate the safety and efficacy of axillary single-incision endoscopy-assisted breast fibroadenoma surgery. Methods Forty-two patients with breast fibroids were divided into two groups: the endoscopic group (26 cases) and the conventional group (16 cases). Conventional group of patients with conventional breast fibroids surgery, endoscopic group of patients with axillary line single incision endoscopic surgery assisted breast fibroids. The general conditions of operation (incision size, distance between incision and lesion), intraoperative conditions (operation time, intraoperative blood loss) and postoperative condition (complication and hospital stay) were compared. Results Both groups completed the operation smoothly. The size of the incision in the endoscopic group was (2.5 ± 0.4) cm, the operation time was (32.5 ± 14.2) min, the bleeding volume was (3.2 ± 0.7) g and the hospitalization time was (3.0 ± 0.5) d, which was significantly better than that of the conventional group 2.9 ± 0.8) cm, (42.1 ± 15.1) min, (5.0 ± 0.8) g and (3.5 ± 0.7) d, respectively. The difference was statistically significant (P < ± 2.5) min, which was significantly longer than that of the conventional group (1.5 ± 1.0) min, the difference was statistically significant (P <0.05). No postoperative complications such as subcutaneous effusion and ecchymosis occurred in both groups. Conclusions A single minor incision through the anterior axillary line with lumpectomy-assisted breast fibroadenotomy can achieve the same surgical results as conventional surgery without scarring on the breast surface and is easily accepted by patients.