微波消融与麦默通微创旋切手术治疗乳腺良性肿瘤的效果对比  

Comparison of the effect of microwave ablation and mammotome minimally invasive surgery in the treatment of breast tumor benign

作　　者：王慧玲[1] 潘小明[1] 吕勉[1] 黄永鸿[1] 

机构地区：[1]南宁市第二人民医院乳腺甲状腺外科,南宁530031

出　　处：《中国医学前沿杂志（电子版）》2017年第11期126-129,共4页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

摘　　要：目的比较微波消融与麦默通微创旋切手术治疗乳腺良性肿瘤的效果。方法选择2015年2月至2016年2月于本院治疗的120例乳腺良性肿瘤患者为研究对象。按照简单随机法将入选患者分为观察组和对照组,每组各60例。比较两组患者手术情况、肿物残留、乳房美观度、不良反应发生情况。结果两组患者术后住院天数比较无显著差异(P>0.05)。对照组患者手术时间显著长于观察组(P<0.05),术中出血量显著多于观察组(P<0.05)。观察组患者术区吸收较快(1~3个月),对照组患者术区吸收较慢(3个月至1年)。术后1个月,两组患者肿物残留率无明显差异(P>0.05);术后3个月,对照组患者肿物残留率明显高于观察组(P<0.05)。观察组患者术后乳房美观优良率明显高于对照组(P<0.05),术后不良反应发生率显著低于对照组(P<0.05)。结论微波消融与麦默通微创旋切手术治疗乳腺良性肿瘤均有效,但微波消融手术时间短、术中出血量少、无瘢痕、患者痛苦少。因此,微波消融治疗乳腺良性肿瘤更具优势。ObjectiveTo compare the efiect of microwave ablation and mammotome minimally invasivesurgery in the treatment of breast benign tumor. MethodFrom February 2015 to February 2016, 120 cases of breast benign tumor patients were studied. They were divided into observation group and control group according to the simple random method. The operation, residual of the tumor, beauty of the breast and occurrence of adverse reaction were compared between the two groups. ResultThere was no significantdifierence of postoperative hospital days in the two groups （P 〉 0.05）. The operation time of control groupwas significantly longer than observation group （P〈0.05）, and the amount of bleeding during the operationwas significantly more than observation group （P 〈 0.05）. The patients in observation group had a fasterabsorption time （1～ 3 months）, and control group patients had a longer absorption time （3 months to 1 year）.1 month after surgery, two groups of patients with residual tumor had no significant difference （P 〉 0.05）;3 months after surgery, the residual rate of tumor in control group was significantly higher than observation group （P 〈 0.05）. The postoperative breast beauty of observation group was significantly better than control group （P 〈 0.05）, and the incidence of adverse reaction after operation was significantly lower than controlgroup （P 〈 0.05）. ConclusionMicrowave ablation and mammotome minimally invasive surgery in the treatment of benign breast tumor have a certain efiect. But the operation time of microwave ablation is short, the amount of bleeding is less, no scar and the patient＇s pain are less. Therefore, microwave ablation is more advantageous in the treatment of breast benign tumor.

关 键 词：微波消融 麦默通微创旋切系统 乳腺良性肿瘤 

分 类 号：R737.9[医药卫生—肿瘤]