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目的:比较经腋前线单切口腔镜辅助乳腺手术(VABS)与经乳晕切口常规手术在乳腺纤维瘤病灶切除中的应用。方法:选取我院2014~2016年50例乳腺纤维瘤患者,并分为25例经乳晕切口常规手术为对照组,25例经腋前线VABS为实验组,对比两组术式在病灶切除中的应用以及不良反应出现的情况。结果:两组术式均顺利完成,无不良反应情况出现。两组患者手术时间、术中出血量以及住院天数均无明显差异(P>0.05)。实验组切口到病灶远端距离[(9.03±3.21)cm]明显长于对照组[(1.56±1.16)cm](t=11.43,P=0.00)。实验组切口至病灶距离在8 cm或以下者手术时间远远少于超过8 cm者(t=13.43,P=0.00)。结论:经腋前线VABS与经乳晕切口常规手术在乳腺纤维瘤病灶切除的应用中具有相似的可行性,经腋前线VABS的安全性较高,更有助于乳房外侧象限病灶切除。
Objective: To compare the application of axillary single-incision endoscopic assisted breast surgery (VABS) and conventional operation of areola incision in resecting breast fibroadenoma. Methods: Fifty patients with breast fibroids from 2014 to 2016 in our hospital were enrolled. They were divided into 25 cases of conventional operation by areola incision as the control group and 25 cases of the experimental group by the axillary line VABS. Application and the occurrence of adverse reactions. Results: Two groups of surgical procedures were successfully completed, no adverse reactions occurred. There was no significant difference between the two groups in operation time, intraoperative blood loss and hospitalization days (P> 0.05). The distance from the incision to distal lesion in the experimental group was significantly longer than that in the control group [(9.03 ± 3.21) cm] [(1.56 ± 1.16) cm] (t = 11.43, P = 0.00). The experimental group incision to the lesion distance of 8 cm or less operation time is far less than 8 cm (t = 13.43, P = 0.00). CONCLUSION: VABS via axillary line and conventional operation via areolactomy have similar feasibility in resecting breast fibroadenoma. VABS via axillary line is more safe and more helpful for resection of the lateral quadrant of the breast.