摘要
目的比较超声引导下麦默通乳腺微创旋切术与传统手术治疗乳腺良性肿瘤的临床效果。方法选取佳木斯市中心医院2018年9月至2019年9月收治的乳腺良性肿瘤患者60例为研究对象,将所有患者依据入院时间单、双号分为两组,对照组(30例)采用传统手术方式治疗;治疗组(30例)采用超声引导下麦默通乳腺微创旋切术治疗。比较两组患者术中出血量、手术时间、切口长度以及并发症发生率。结果治疗组患者的手术相关指标[术中出血量为(4.25±1.23)mL,手术时间为(15.36±3.21)min,切口长度为(0.41±0.05)cm],均优于对照组[(10.75±2.12)mL、(29.68±7.23)min、(2.9±0.8)cm],差异均有统计学意义(t=14.526、9.915、17.015,均P<0.05)。治疗组患者手术治疗效果良好,并发症(局部血肿1例、皮肤凹陷0例、皮瓣坏死0例、术后出血0例,发生率为3.33%)低于对照组患者(局部血肿2例、皮肤凹陷1例、皮瓣坏死1例、术后出血3例,发生率为23.00%),差异有统计学意义(χ^(2)=5.192,P<0.05)。结论较之传统治疗方式来看,超声引导下麦默通乳腺微创旋切术治疗效果显著。
Objective To investigate the clinical efficacy of ultrasound-guided mammotomy versus conventional surgery in the treatment of benign breast tumors.Methods Sixty patients with benign breast tumors who received treatment in Jiamusi Central Hospital from September 2018 to September 2019 were included in this study.They were randomly assigned to undergo either conventional surgery(control group,n=30)or ultrasound-guided mammotomy(treatment group,n=30).Intraoperative blood loss,operative time,incision length,and the incidence of complications were compared between the two groups.Results Intraoperative blood loss,operative time,and incision length in the treatment group were(4.25±1.23)mL,(15.36±3.21)minutes,(0.41±0.05)cm,respectively,which were significantly lower or shorter than those in the control group[(10.75±2.12)mL,(29.68±7.23)minutes,(2.9±0.8)cm,t=14.526,9.915,17.015,all P<0.05].In the treatment group,the incidence of complications was 3.33%(local hematoma n=1,skin depression n=0,flap necrosis n=0,postoperative bleeding n=0),which was significantly lower that 23.00%in the control group(local hematoma n=2,skin depression n=1,flap necrosis n=1,postoperative bleeding n=3,χ^(2)=5.192,P<0.05).Conclusion Compared with the traditional treatment,ultrasound-guided minimally invasive mastectomy is more effective in the treatment of benign breast tumors.
作者
姜吉洵
高佳
Jiang Jixun;Gao Jia(Department of Oncology,Jiamusi Central Hospital,Jiamusi 154002,Heilongjiang Province,China;Department of Breast Surgery,the Maternal and Child Health Care Hospital of Hechuan District,Chongqing 401520,China)
出处
《中国基层医药》
CAS
2021年第10期1448-1451,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
乳腺肿瘤
超声检查
乳房
麦默通
微创旋切术
手术后并发症
对比研究
Breast neoplasms
Ultrasonography,mammary
Mammotome
Minimally invasive rotary surgery
Postoperative complications
Comparative study
