Objective To investigate the clinical effects of ultrasound-guided vacuum-assisted minimally invasive excision for the treatment of breast fibroadenoma and its impact on postoperative recovery.Methods A total of 224 patients with breast fibroadenoma treated at the Department of Breast Surgery of Pingdingshan First People's Hospital from April 2021 to February 2024 were selected for the study.Patients were divided into two groups based on the surgical method:the conventional group(114 cases)underwent traditional periareolar incision surgery,while the minimally invasive excision group(110 cases)received ultrasound-guided vacuum-assisted minimally invasive excision.The two groups were compared in terms of the residual lesions,perioperative indicators,nerve function in the periareolar area at 3 days and 6 months postoperatively,incidence of postoperative complications,and satisfaction with surgical aspects.Results There was no statistically significant difference in the residual lesions between the two groups postoperatively(P＞0.05).However,the minimally invasive excision group had significantly shorter incision length,scar length,operation time,and length of hospital stay compared to the conventional group,with significantly less intraoperative blood loss(P＜0.05).At 3 days postoperatively,there were no significant differences in nerve function between the two groups(P＞0.05);however,at 6 months postoperatively,nerve function in the periareolar area was better in the minimally invasive excision group compared to the conventional group,and the improvement in nerve function from 3 days to 6 months postoperatively was statistically significant in the minimally invasive excision group(P＜0.05).The incidence of postoperative complications in the minimally invasive excision group was significantly lower than that in the conventional group,and satisfaction regarding various aspects of the surgery was significantly higher in the minimally invasive excision group compared to the conventional group(P＜0.05).Conclusion Ultrasound-guided vacuum-assisted minimally invasive excision for breast fibroadenoma shows favorable clinical efficacy,leads to faster postoperative recovery,has a lower incidence of complications,and results in higher patient satisfaction.
breast fibroadenomavacuum-assisted minimally invasive excisionultrasound guidanceclinical efficacypostoperative recovery
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