首页|不同手术方式治疗乳腺良性肿瘤的临床效果比较

不同手术方式治疗乳腺良性肿瘤的临床效果比较

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目的 比较分析传统开放切除术、彩超引导下麦默通微创旋切术与微波消融术治疗乳腺良性肿瘤的临床效果。方法 选取2020年1月至2023年1月中国人民解放军陆军第七十一集团军医院收治的139例乳腺良性肿瘤患者,根据治疗方式的不同分为开放组(采用传统开放切除术治疗,63例)、旋切组(采用彩超引导下麦默通微创旋切术治疗,46例)和消融组(采用微波消融术治疗,30例)。比较三组患者的手术时间、术中出血量、切口长度、切口愈合时间、住院时间、术后疼痛评分、术后并发症及乳腺美观效果的差异。结果 消融组的手术时间、术中出血量、切口长度、切口愈合时间、住院时间及术后24、48、72 h的疼痛程度均低于旋切组和开放组,且旋切组低于开放组,差异有统计学意义(P<0。05)。消融组、旋切组术后并发症发生率低于开放组,乳房美观效果优于开放组,差异有统计学意义(P<0。05),而消融组的术后并发症发生率和乳房美观效果与旋切组比较差异无统计学意义(P>0。05)。结论 与传统开放切除术及旋切术相比,超声引导下微波消融术治疗乳腺良性肿瘤切口小、术中出血量少、疼痛轻微、术后并发症发生率低,具有良好的乳腺美观效果,值得临床应用。
Comparison of the clinical effects of different surgical methods in the treatment of benign breast tumors
Objective Comparative analysis of the clinical effect of traditional open resection,color ultrasound-guided Maimerton minimally invasive circumcision and microwave ablation in the treatment of benign breast tumors.Method From January 2020 to January 2023,139 patients with benign breast tumors were admitted to the 71st Group Military Hospital of the People's Liberation Army of the Chinese People's Liberation Army.According to the different treatment methods,they were divided into open group(traditional open resection treatment,63 cases),rotary incision group(micro-micro-invasive rotary incision under the guidance of color ultrasound treatment,46 cases)and ablation group(treatment by microwave ablation,30 cases).Compare the differences in operation time,intraoperative bleeding volume,incision length,incision healing time,hospitalization time,postoperative pain score,postoperative complications and breast aesthetic effect of the three groups of patients.Result The operation time,intraoperative bleeding volume,incision length,incision healing time,hospitalization time and the pain degree of 24,48 and 72 hours in the ablation group were lower than that in the rotary shear group and the open group,and the rotary incision group was lower than that in the open group.The difference was statistically significant(P<0.05).The incidence of postoperative complications in the ablation group and the circumcision group is lower than that in the open group,and the breast aesthetic effect is better than that in the open group,the difference is statistically significant(P<0.05).However,there is no statistical difference between the incidence of postoperative complications and breast aesthetic effect in the ablation group and that in the circumcision group(P>0.05).Conclusion Ultrasound-guided microwave ablation for the treatment of benign breast tumors has a small incincision,less intraoperative bleeding,mild pain,and low incidence of postoperative complications.It has a good aesthetic effect of the breast and is worthy of clinical application.

Benign breast tumorMinimally invasive treatmentSpincision treatmentAblation therapy

刘晓丹、李磊、周峰、崔洪尊、张健、周芳、牛万成、张召辉

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徐州医科大学附属淮海医院/中国人民解放军陆军第七十一集团军医院普通外科,江苏徐州 221004

乳腺良性肿瘤 微创治疗 旋切治疗 消融治疗

原南京军区医学科技创新课题重点项目徐州市重点研发计划陆军第七十一集团军医院院内科研项目

15ZD013KC21212YNMS-2022011

2024

中国医刊
人民卫生出版社

中国医刊

CSTPCD
影响因子:1.14
ISSN:1008-1070
年,卷(期):2024.59(3)
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