首页|超声引导下真空辅助微创旋切术治疗分散型乳腺结节的疗效及安全性研究

超声引导下真空辅助微创旋切术治疗分散型乳腺结节的疗效及安全性研究

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目的 研究超声引导下真空辅助微创旋切术治疗分散型乳腺结节患者的疗效及安全性.方法 选取 2020 年 2 月-2022 年2 月我院诊治的 62 例分散型乳腺结节患者为研究对象,采用随机数字表法分为对照组和观察组,各组 31 例.对照组采用常规乳腺结节切除术治疗,观察组患者在超声引导下行真空辅助微创旋切术.比较两组手术指标(手术时间、术中出血量、术后瘢痕长度、切口愈合时间、住院时间)、疼痛评分、并发症发生率、乳房美观满意度、复发率及病灶残留率.结果 观察组术后瘢痕长度小于对照组,手术时间/切口愈合时间、住院时间均短于对照组(P<0.05);观察组术中出血量与对照组比较,差异无统计学意义(P>0.05);观察组术后 4、8、12 h VAS评分均低于对照组(P<0.05);观察组并发症发生率(12.90%)高于对照组(6.45%)(P<0.05);观察组乳房美观满意度高于对照组(P<0.05);随访 12 个月,观察组复发率与对照组比较,差异无统计学意义(P>0.05);观察组病灶残留率与对照组比较,差异无统计学意义(P>0.05).结论 超声引导下真空辅助微创旋切术治疗分散型乳腺结节效果确切,可改善手术指标,减轻患者疼痛,提高乳房美观满意度,值得临床加以应用.
Study on the Efficacy and Safety of Ultrasound-guided Vacuum-assisted Minimally Invasive Rotary Resection in the Treatment of Scattered Breast Nodules
Objective To study the efficacy and safety of ultrasound-guided vacuum-assisted minimally invasive rotary resection in the treatment of patients with scattered breast nodules.Methods A total of 62 patients with scattered breast nodules diagnosed and treated in our hospital from February 2020 to February 2022 were selected as the research objects.They were divided into control group and observation group by random number table method,with 31 patients in each group.The control group was treated with conventional breast nodule resection,and the observation group was treated with ultrasound-guided vacuum-assisted minimally invasive rotary resection.The surgical indicators(operation time,intraoperative blood loss,postoperative scar length,incision healing time,hospitalization time),pain score,complication rate,breast aesthetic satisfaction,recurrence rate and lesion residual rate were compared between the two groups.Results The postoperative scar length of the observation group was less than that of the control group,and the operation time,incision healing time and hospitalization time were shorter than those of the control group(P<0.05).There was no significant difference in intraoperative blood loss between the observation group and the control group(P>0.05).The VAS score of the observation group at 4,8 and 12 h after operation was lower than that of the control group(P<0.05).The incidence of complications in the observation group(12.90%)was higher than that in the control group(6.45%)(P<0.05).The breast aesthetic satisfaction of the observation group was higher than that of the control group(P<0.05).After 12 months of follow-up,there was no significant difference in the recurrence rate between the observation group and the control group(P>0.05).There was no significant difference in the residual rate of lesions between the observation group and the control group(P>0.05).Conclusion Ultrasound-guided vacuum-assisted minimally invasive rotary resection is effective in the treatment of scattered breast nodules,which can improve surgical indicators,reduce patient pain,and improve breast aesthetic satisfaction.It is worthy of clinical application.

Ultrasound guidanceVacuum assisted minimally invasive rotary cuttingScattered breast nodulesSecurity

曾添辉、雷双根

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广昌县妇幼保健院乳腺外科,江西 广昌 344900

超声引导 真空辅助微创旋切术 分散型乳腺结节 安全性

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(19)