摘要
目的分析微创旋切术治疗乳腺良性肿瘤的临床疗效、安全性及对患者抑郁、焦虑情绪的影响。方法选定本院2020年1月~2021年1月住院治疗的126例乳腺良性肿瘤患者,根据“随机数字表法”分组,参照组63例患者采纳传统开放手术治疗,观察组63例患者采纳微创旋切术治疗,比较两组手术指标、温哥华瘢痕评价量表(VSS)评分、并发症发生率、汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分。结果观察组切口长度、手术时间、瘢痕长度、切口愈合时间均短于参照组,观察组VSS评分低于参照组,观察组并发症发生率(1.59%)低于参照组(15.87%),观察组术后HAMA评分、HAMD评分均低于参照组,差异均具有统计学意义(P<0.05)。结论微创旋切术治疗乳腺良性肿瘤,具有耗时短、创伤性小、瘢痕少、并发症少等优点,术后患者焦虑、抑郁情绪相对较轻。
Objective To analyze the clinical efficacy and safety of minimally invasive rotary surgery in the treatment of benign breast tumors,as well as the impact on depression and anxiety of patients.Methods 126 patients with benign breast tumor in our hospital from January 2020 to January 2021 were selected and divided into two groups according to the"random number table".63 patients in the reference group were treated with traditional open surgery,and 63 patients in the observation group were treated with minimally invasive rotary surgery.The operation indexes,the VSS score,the complication rate,HAMA score and HAMD score of the two groups were compared.Results The incision length,the operation time,the scar length and the wound healing time of the observation group were shorter than those of the reference group,the VSS score of the observation group was lower than that of the reference group,the complication rate of the observation group(1.59%)was lower than that of the reference group(15.87%),the HAMA score and HAMD score of the observation group were lower than those of the reference group,the differences were statistically significant(P<0.05).Conclusion Minimally invasive rotary surgery in the treatment of benign breast tumor has the advantages of shorter time,less trauma,less scar,less complications,and less anxiety and depression.
作者
金俊超
郑依童
刘伟迪
JIN Junchao;ZHENG Yitong;LIU Weidi(Breast Surgery,Xuchang People’s Hospital,Xuchang 461000,China)
出处
《国际精神病学杂志》
2021年第5期865-868,共4页
Journal Of International Psychiatry
基金
2017年度河南省医学科技攻关计划项目(编号:201702016)。
关键词
微创旋切术
传统开放手术
乳腺良性肿瘤
并发症
不良情绪
Minimally invasive rotational resection
Traditional open surgery
Benign breast tumor
Complications
Bad mood
