首页|超声引导下真空辅助微创旋切术对乳腺良性肿瘤患者血清疼痛因子、肿瘤残留及安全性的影响

超声引导下真空辅助微创旋切术对乳腺良性肿瘤患者血清疼痛因子、肿瘤残留及安全性的影响

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目的 探析超声引导下真空辅助微创旋切术对乳腺良性肿瘤患者血清疼痛因子、肿瘤残留及安全性的影响.方法 选取 2022 年 4 月—2023 年 4月泰安市精神病医院收治的 78 例乳腺良性肿瘤患者为研究对象,根据数字奇偶数将其分为对照组和观察组,每组 39 例.对照组行乳腺肿物切除术治疗,观察组行超声引导下真空辅助微创旋切术治疗.比较两组患者的围术期指标、血清疼痛因子水平、肿瘤残留情况及安全性.结果 观察组的手术时间、切口愈合时间及住院时间均短于对照组,术中出血量少于对照组,组间差异有统计学意义(P<0.05).术后 3d,两组的神经肽Y、5-羟色胺、前列腺素E2 水平均高于术前,但观察组各指标水平均低于对照组,差异有统计学意义(P<0.05).两组的肿瘤残留情况比较,差异无统计学意义(P>0.05).观察组的并发症发生率为 5.13%,低于对照组的 20.51%,差异有统计学意义(P<0.05).结论 超声引导下真空辅助微创旋切术可有效改善乳腺良性肿瘤患者的围术期指标,调节其血清疼痛因子水平,且安全性较好.
Effect of Ultrasound-Guided Vacuum Assisted Minimally Invasive Circumcision on Serum Pain Factors,Tumor Residue and Safety in Patients with Benign Breast Tumors
Objective To investigate the effects of ultrasound-guided vacuum assisted minimally invasive circumcision on serum pain factors,tumor residual and safety in patients with benign breast tumors.Methods A total of 78 patients with benign breast tumor admitted to Tai'an Mental Hospital from April 2022 to April 2023 were selected as the research objects,and were divided into a control group and an observation group according to odd and even numbers,with 39 cases in each group.The control group underwent mastectomy,and the observation group underwent ultrasound-guided vacuum assisted minimally invasive circumcision.The perioperative indexes,serum pain factor levels,tumor residual status and safety of the two groups were compared.Results The operation time,incision healing time and hospital stay in the observation group were shorter than those in the control group,and the intraoperative blood loss was less than that in the control group,the differences between the groups were statistically significant(P<0.05).3 days after surgery,the levels of neuropeptide Y,5-hydroxytryptamine and prostaglandin in both groups were higher than those before surgery,but the levels of all indexes in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).There was no significant difference in tumor residue between the two groups(P>0.05).The incidence of complications in the observation group was 5.13%,lower than 20.51%in the control group,and the difference was statistically significant(P<0.05).Conclusion Ultrasound-Guided vacuum assisted minimally invasive circumcision can effectively improve perioperative indexes and adjust the levels of serum pain factors in patients with benign breast tumors,with good safety.

Benign breast tumorsTraditional mastectomyMinimally invasive circumcisionComplications

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泰安市精神病医院外科,山东泰安 271000

乳腺良性肿瘤 传统乳腺肿物切除术 微创旋切术 并发症

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(9)
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