摘要
目的探讨乳腺癌手术中应用电刀与手术刀游离切口皮瓣术后生活质量的差异性及证明应用电刀可降低手术中的出血量而不增加术后并发症的发生。方法2000-03/2002-11,按手术次序先后对102例行Halsted乳腺癌根治术的患者进行分组研究。次序单数为A组,共51例,用电刀游离切口皮瓣。次序双数为B组共51例,用手术刀游离切口皮瓣。全部患者的切口皮瓣设计都能无张力缝合,除了游离切口皮瓣的器械不同外,其余操作基本一样且由同一人主刀。两组患者的围手术期治疗亦基本相同。分别记录两组患者手术时游离切口皮瓣的出血量及时间,术后第7天观察切口皮瓣并发症的发生情况。在手术恢复期进行生活质量评估并对其数据进行统计学分析。观察数据用方差分析和t检验及χ2检验。结果乳腺癌手术中游离切口皮瓣使用电刀操作和手术刀操作二者对患者术后的生活质量的影响无明显的差异(χ2=1.009,P>0.05),手术时间及围手术期副作用亦差异不显著(χ2=0.374,P>0.05),可实际应用时电刀的出血量较手术刀明显减少(t=80.65,P<0.05)。结论虽然乳腺癌应用电刀与手术刀在患者术后的生活质量影响不大,但应用电刀游离切口皮瓣出血量少,不增加手术并发症,操作更方便可行。
Aim To analyze the different quality of life after mammary cancer operation by using lancet or electric knife and certify electric knife reducing the number of the bleeding in the operation without post operative complication.Methods 102 female patients treated with Halsted radical mastectomy 2000 05/2002 11,were randomly divided into group A of 51 cases of odd numbers and group B of 51 cases of even numbers according to operation order. Group A was treated with electric knives to free the incision skin flap, and group B was treated with scalpals to do it. All incision skin flaps were sown up without tension. The operations in two groups were fundamentally similar except for the instruments to free the incision skin flap. The amount of bleeding and time of the operation were recorded in two groups respectively, and the complication caused by incision skin flaps was observed 7d after in two groups. The quality of life in convalescent period were evaluated and statistically analyzed in two groups.Results The postoperative quality of life were not significantly different between the group A and group B (χ2=1.009,P >0.05)as well as the time of operation and side effects(χ2=0.374,P >0.05). Actually the amount of bleeding in group A was further less than that in group B(t=80.65,P< 0.05).Conclusion The quality of life were not significantly different between the treatment with electrical knife and the treatment with operating knife, however, the amount of bleeding and rate of complication decreased by the usage of electric knife which supported a comfortable operation.
出处
《中国临床康复》
CSCD
2003年第11期1678-1679,共2页
Chinese Journal of Clinical Rehabilitation
