弹力纤维瘤两种切除方式疗效比较

Comparison of Curative Effect between Two Excision Methods of Elastic Fibroma

摘要: 目的：弹力纤维瘤膜内切除与膜外完整切除的疗效比较。方法：选择青岛大学附属医院2017年2月~2019年12月收治的病理确诊为弹力纤维瘤患者共计28例，按手术切除方式不同分为观察组13例和对照组15例，对照组采用常规处理和膜外完整切除手术方式治疗，观察组采用常规处理及膜内切除手术方式治疗。结果：观察组患者13例术中出血量(ml)、术后引流量(ml)、术后引流管放置时间(d)、术后住院时间(d)、术后疼痛评分(NRS)，指标分别为(13.46 ± 6.25) ml、(128.77 ± 57.79) ml、(3.38 ± 1.33) d、(5.46 ± 1.27) d、(2.00 ± 0.82)分；对照组患者15例(69.67 ± 27.68) ml、(716.27 ± 330.35) ml、(6.27 ± 1.71) d、(9.40 ± 1.76) d、(2.27 ± 0.88)分；观察组术中出血量、术后引流量少于对照组，术后引流管放置时间、术后住院时间均短于对照组，差异具有统计学意义(P < 0.05)；而术后疼痛评分没有统计学差异(P > 0.05)；观察组患者2年复发率为0.00%，对照组患者2年复发率为0.00%，两组比较无统计学差异。结论：与弹力纤维瘤膜外完整切除相比，采用膜内切除弹力纤维瘤手术方式，其术中出血量、术后引流量、术后引流管放置时间、住院时间均具有明显优势，术后疼痛评分无显著差异。

Abstract: Objective: To compare the curative effect of intramembrane resection of elastic fibroma with complete extramembrane resection. Methods: A total of 28 patients with pathologically confirmed elastic fibroma admitted to The Affiliated Hospital of Qingdao University from February 2017 to December 2019 were selected and divided into observation group (n = 13) and control group (n = 15) according to different surgical resection methods. The control group was treated with conventional treatment and complete extramembrane resection, while the observation group was treated with conventional treatment and intramembrane resection. Results: In the observation group, intraoperative blood loss (ml), postoperative drainage volume (ml), postoperative drainage tube placement time (d), postoperative hospital stay (d), postoperative pain score (NRS), indexes respectively were (13.46 ± 6.25) ml, (128.77 ± 57.79) ml, (3.38 ± 1.33) d, (5.46 ± 1.27) d, (2.00 ± 0.82) points; Indexes of control group were (69.67 ± 27.68) ml, (716.27 ± 330.35) ml, (6.27 ± 1.71) d, (9.40 ± 1.76) d, (2.27 ± 0.88) points. The intraoperative blood loss and postoperative drainage volume in the observation group were less than those in the control group, and the postoperative drainage tube placement time and postoperative hospitalization time were shorter than those in the control group, with statistically significant differences (P < 0.05). There was no statistical difference in postoperative pain score (P > 0.05). The 2-year recurrence rate was 0.00% in the observation group and 0.00% in the control group, and there was no statistical difference between the two groups.