首页|超声引导下EnCor微创旋切术治疗乳腺良性结节的效果及对患者预后恢复的影响

超声引导下EnCor微创旋切术治疗乳腺良性结节的效果及对患者预后恢复的影响

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目的 探讨超声引导下EnCor微创旋切术治疗乳腺良性结节的效果及对患者预后恢复的影响.方法 回顾性分析2020年1月-2023年1月本院收治的120例乳腺良性结节患者临床资料,将采用传统开放式手术患者50例纳入对照组,采用超声引导下EnCor微创旋切手术患者70例纳入研究组.比较两组患者围术期指标及术后1、3、5 d疼痛程度[数字疼痛评分表(NRS)]差异,对比手术前后两组患者血清炎性因子水平[C-反应蛋白(CRP)、血清降钙素原(PCT)]变化,观察两组患者术后瘢痕情况[瘢痕长度、瘢痕量表评分(VSS)]以及并发症(术口感染、皮下瘀斑、乳房变形、皮下血肿)发生情况.结果 研究组围术期指标均低于对照组(P<0.05);研究组术后1、3、5 d的NRS评分均低于对照组(P<0.05);手术后,两组CRP和PCT水平高于手术前,研究组PCT和CRP水平低于对照组;研究组瘢痕长度及VSS各维度评分均低于对照组(P<0.05);研究组术后并发症总发生率低于对照组(P<0.05).结论 采用超声引导下EnCor微创旋切术治疗乳腺良性结节有利于提高手术效率,减少手术创伤,减轻患者术后疼痛程度,控制炎症反应,并减少瘢痕和并发症发生风险,有利于患者预后恢复.
Effect of ultrasound-guided EnCor minimally invasive surgery on benign breast nodules and its influence on prognosis recovery
Objective To explore the effect of ultrasound-guided EnCor minimally invasive surgery in the treatment of benign breast nodules and its influence on prognosis recovery of patients.Methods The clinical data of 120 patients with benign breast nodules were retrospectively analyzed.The patients who underwent traditional open surgery were in-cluded in control group(n=50),and the patients who received ultrasound-guided EnCor minimally invasive surgery were enrolled as study group(n=70).The perioperative indicators and pain degree[Numerical Rating Scale(NRS)]at 1 day,3 days and 5 days after surgery and levels of serum inflammatory factors[C-reactive protein(CRP),serum procalcitonin(PCT)]before and after surgery were compared between both groups of patients.Postoperative scar status[scar length,Vancouver Scar Scale(VSS)]and occurrence of complications(wound infection,subcutaneous ecchymosis,breast de-formation,subcutaneous hematoma)were observed in the two groups.Results The perioperative indicators in study group were lower than those in control group(P<0.05).The NRS scores in study group at 1 day,3 days and 5 days af-ter surgery were lower than those in control group(P<0.05).After surgery,the levels of CRP and PCT in both groups were higher than those before surgery,and the levels were lower in study group than those in control group.Scar length and scores of VSS dimensions in study group were lower compared with those in control group(P<0.05).The total inci-dence rate of postoperative complications in study group was lower than that in control group(P<0.05).Conclusion Ultrasound-guided EnCor minimally invasive surgery for benign breast nodules is beneficial to enhance the surgical effi-ciency,reduce the surgical trauma,relieve the postoperative pain degree,control the inflammatory response and reduce the risk of scars and complications,and it is also conducive to the prognosis recovery of patients.

Ultrasound-guidedEnCor minimally invasive surgeryBenign breast nodulesTherapeutic effectPrognosis recovery

王璋瑜、常剑、毛郁琪、刘冬波、邱峰、王伟伟

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上海交通大学医学院苏州九龙医院普外科,江苏苏州 215000

超声引导 EnCor微创旋切术 乳腺良性结节 治疗效果 预后恢复

2025

西部医学
四川

西部医学

影响因子:1.352
ISSN:1672-3511
年,卷(期):2025.37(1)