摘要
目的探讨微创腔镜技术对乳腺癌患者的临床疗效。方法选取2013年12月至2016年12月期间确诊治疗的乳腺癌患者100例,依据随机分配原则分为腔镜组和常规组,每组50例,常规组给予开放保乳术治疗,腔镜组给予微创腔镜保乳术治疗,采用SPSS 16.0统计软件处理数据,对复发、转移、乳房外观满意率等计数资料比较采用χ2检验;对术中术后各项指标、血清VEGF、CA153、CEA水平等计量资料以(x珋±s)表示,采用t检验,P<0.05差异有统计学意义。结果腔镜组术中出血量、住院时间、乳房外观满意率明显优于常规组,两组淋巴结清扫数目、1年内复发率、转移率和并发症发生率,两组差异无统计学意义(P>0.05);两组术前术后血清VEGF、CA153、CEA水平基本相同,但两组术后均较术前明显下降,差异有统计学意义(P<0.05)。结论微创腔镜保乳术对乳腺癌患者治疗效果确切,可有效减少患者创伤,且有利于保持乳房美容,但手术时间较长,仍需提高相关操作技术。
Objective To discuss the clinical effect of minimally invasive endoscopy technology for patients with breast cancer . Methods 100 patients with breast cancer were selected from December 2013 to December 2016 in our Hospital , all patients were randomly divided into breast cavity endoscopy group and conventional group , each 50 cases, conventional group patients were given open breast-conserving surgery , breast cavity endoscopy group patients were given minimally invasive endoscopy technology breast -conserving surgery, the data was processed by SPSS 16.0 statistical software, the enumeration data of recurrence , metastasis, breast satisfaction rate were compared by χ2 test, the measurement data of postoperative intraoperative each index, serum VEGF, CA153, CEA levels were expressed as （x-＋s）, and compared by t test, when P〈0.05, the difference was statistically significant . Results The intraoperative blood loss , hospital stay , breast satisfaction rate of breast cavity endoscopy group were significantly better than those of conventional group , there was not statistically significant in the lymph node number , complication rate , recurrence rate in 1 year, metastatic rate of the two groups （P〉0.05）.There was no statistically significant difference in the preoperative , postoperative serum VEGF , CA153, CEA levels between the breast cavity endoscopy group and conventional group （P〉0.05）, but compared with preoperative data , the postperative data of two groups were declined obviously , there was statistically significant （P〈0.05）. Conclusions Minimally invasive endoscopic breast conserving surgery has good treatment effect for patients with breast cancer , which can effectively reduce the trauma , and it is helpful for maintain breast shape , but it still need to improve the relevant operation technology for a longer operation time .
出处
《中华普外科手术学杂志（电子版）》
2017年第6期531-533,共3页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
关键词
乳腺肿瘤
腹腔镜检查
治疗结果
手术后并发症
外科
整形
Breast Neoplasms
Laparoscopy
Treatment Outcome
Postoperative Complications
Surgery
Plastic
