超声引导下真空辅助微创旋切治疗乳腺良性肿瘤的临床效果(1)
[摘要]目的 探討超声引导下真空辅助微创旋切治疗乳腺良性肿瘤的临床效果。方法 选取2015年7月～2017年7月我院收治的80例乳腺良性肿瘤患者作为研究对象，按照不同手术方法分为对照组(40例)和研究组(40例)。对照组采用传统切除术治疗、研究组采用超声引导下真空辅助微创旋切治疗。比较两组的手术指标、住院时间、并发症总发生率及治疗后视觉模拟量表(VAS)评分。结果 研究组的术中出血量为(22.92±9.14)ml，少于对照组的(32.65±10.18)ml，差异有统计学意义(P<0.05);研究组的手术时间为(30.67±6.44)min，短于对照组的(38.14±9.85)min，差异有统计学意义(P<0.05);两组的住院时间比较，差异无统计学意义(P>0.05)。研究组的并发症总发生率为2.50%，低于对照组的15.00%，差异有统计学意义(P<0.05)。研究组治疗后的VAS评分为(3.4±0.5)分，低于对照组的(3.8±0.9)分，差异有统计学异意义(P<0.05)。结论 乳腺良性肿瘤应用超声引导下真空辅助微创旋切治疗，可减少患者的出血量，缩短患者的手术时间，降低患者的并发症发生率，缓解患者的疼痛程度，值得临床推广应用。
[关键词]超声引导;真空辅助微创旋切手术;乳腺良性肿瘤
[中图分类号] R737.9 [文献标识码] A [文章编号] 1674-4721(2019)12(c)-0083-03
Clinical effect of ultrasound-assisted vacuum-assisted minimally invasive rotary resection for benign breast tumors
TAN Yan-fang
Department of Breast Surgery， Pingxiang People′s Hospital of Jiangxi Province， Pingxiang 337055， China
[Abstract] Objective To explore the clinical effect of ultrasound-assisted vacuum-assisted minimally invasive rotary resection for benign breast tumors. Methods A total of 80 patients with benign breast tumors admitted to our hospital from July 2015 to July 2017 were selected as the research subjects， they were divided into control group (40 cases) and study group (40 cases) according to different surgical methods. The control group was treated with traditional resection， study group was treated with vacuum-assisted minimally invasive rotary resection under ultrasound guidance. Surgical indicators， length of hospital stay， total complication rate， and visual analog scale (VAS) scores after treatment were compared between the two groups. Results The intraoperative blood loss of the study group was (22.92±9.14) ml， which was less than that of the control group (32.65±10.18) ml， the difference was statistically significant (P<0.05). The operation time of the study group was (30.67±6.44) min， which was shorter than that of the control group (38.14±9.85) min， the difference was statistically significant (P<0.05). There was no significant difference in hospital stay between the two groups (P>0.05). The total incidence of complications in the study group was 2.50%， which was lower than 15.00% in the control group， the difference was statistically significant (P<0.05). The VAS score of the study group after treatment was (3.4±0.5) points， which was lower than (3.8±0.9) points of the control group， the difference was statistically significant (P<0.05). Conclusion Ultrasound-guided vacuum-assisted minimally invasive rotary cutting for benign breast tumors can reduce the amount of bleeding in patients， shorten the operation time， reduce the incidence of complications， and alleviate the pain of patients. It is worthy of clinical promotion and application., http://www.100md.com(谭艳芳)
[关键词]超声引导;真空辅助微创旋切手术;乳腺良性肿瘤
[中图分类号] R737.9 [文献标识码] A [文章编号] 1674-4721(2019)12(c)-0083-03
Clinical effect of ultrasound-assisted vacuum-assisted minimally invasive rotary resection for benign breast tumors
TAN Yan-fang
Department of Breast Surgery， Pingxiang People′s Hospital of Jiangxi Province， Pingxiang 337055， China
[Abstract] Objective To explore the clinical effect of ultrasound-assisted vacuum-assisted minimally invasive rotary resection for benign breast tumors. Methods A total of 80 patients with benign breast tumors admitted to our hospital from July 2015 to July 2017 were selected as the research subjects， they were divided into control group (40 cases) and study group (40 cases) according to different surgical methods. The control group was treated with traditional resection， study group was treated with vacuum-assisted minimally invasive rotary resection under ultrasound guidance. Surgical indicators， length of hospital stay， total complication rate， and visual analog scale (VAS) scores after treatment were compared between the two groups. Results The intraoperative blood loss of the study group was (22.92±9.14) ml， which was less than that of the control group (32.65±10.18) ml， the difference was statistically significant (P<0.05). The operation time of the study group was (30.67±6.44) min， which was shorter than that of the control group (38.14±9.85) min， the difference was statistically significant (P<0.05). There was no significant difference in hospital stay between the two groups (P>0.05). The total incidence of complications in the study group was 2.50%， which was lower than 15.00% in the control group， the difference was statistically significant (P<0.05). The VAS score of the study group after treatment was (3.4±0.5) points， which was lower than (3.8±0.9) points of the control group， the difference was statistically significant (P<0.05). Conclusion Ultrasound-guided vacuum-assisted minimally invasive rotary cutting for benign breast tumors can reduce the amount of bleeding in patients， shorten the operation time， reduce the incidence of complications， and alleviate the pain of patients. It is worthy of clinical promotion and application., http://www.100md.com(谭艳芳)