超声引导下乳腺旋切术与开放性手术在乳腺良性肿块治疗中的价值比较

    Comparison of the value between ultrasound-guided breast rototomy and open surgery in the treatment of benign breast masses

    • 摘要:
      目的探讨超声引导下乳腺旋切术与开放性手术在乳腺良性肿块治疗中价值比较及乳腺旋切术注意事项。
      方法选取超声引导下乳腺旋切术治疗乳腺良性肿块120例作为观察组,同期选取行传统开放性手术切除乳腺良性肿块125例作为对照组,比较2组病人手术时间、术中出血量、住院时间、术后并发症、瘢痕长度及病人满意度。
      结果观察组病人术中出血量、手术时间、瘢痕长度及住院时间均少于对照组(P < 0.05~P < 0.01),2组病人肿块切除率除差异无统计学意义(P>0.05)。观察组病人术后并发症发生率为3.33%(4/120),明显低于对照组的11.20%(14/125)(P < 0.01)。术后随访,观察组病人对乳房外观满意度为94.17%(113/120),明显高于对照组的85.00%(100/125)(P < 0.01)。
      结论超声引导下乳腺旋切术具有微创治疗优势,在乳腺良性肿块治疗中具有较传统开放性手术更高的应用价值。

       

      Abstract:
      ObjectiveTo explore the value of ultrasound-guided breast rototomy and open surgery in the treatment of benign breast masses, and precautions of breast rototomy.
      MethodsOne hundred and twenty benign breast mass cases treated with ultrasound-guided breast rototomy and 125 benign breast mass cases treated with open surgery were divided into the observation group and control group, respectively.The operation time, intraoperative bleeding, postoperative complications, scar length and patient satisfaction were compared between two groups.
      ResultsThe intraoperative blood loss, operation time, length of postoperative scar and length of hospital stay in observation group were significantly lower than those in control group(P < 0.05 to P < 0.01), and the difference of the resection rate of mass between two groups was not statistically significant(P>0.05).The incidence rate of postoperative complications in observation group(3.33%) was significantly lower than that in control group(11.20%)(P < 0.01).The results of postoperative following-up showed that the satisfaction with the appearance of breast in observation group(94.17%) was significantly higher than that in control group (85.00%)(P < 0.01).
      ConclusionsCompared with the open surgery, the ultrasound-guided breast rototomy has the advantage of minimally invasive treatment, and higher application value in the treatment of benign breast masses.

       

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