真空辅助乳腺旋切活检在可疑乳腺癌肿物活检筛查中的应用  

Application of vacuum-assisted mammotomy in biopsy screening of suspected breast cancer

作　　者：吴浩[1] 刘德见 王菁佩 黄焱 甘宇 张少伟[1] WU Hao;LIU De-jian;WANG Jing-pei;HUANG Yan;GAN Yu;ZHANG Shao-wei(Department of General Surgery,Hu′nan Aerospace Hospital,Hu′nan Province,Changsha 410205,China;Department of Outpatient,Hu′nan Aerospace Hospital,Hu′nan Province,Changsha 410205,China;Ministry of Science and Education,Hu′nan Aerospace Hospital,Hu′nan Province,Changsha 410205,China)

机构地区：[1]湖南航天医院普外科,湖南长沙410205 [2]湖南航天医院门诊部,湖南长沙410205 [3]湖南航天医院科教部,湖南长沙410205

出　　处：《中国当代医药》2020年第8期69-72,共4页China Modern Medicine

基　　金：湖南省长沙市科技计划项目(kq1801118)。

摘　　要：目的探索真空辅助乳腺旋切活检(VABB)在可疑乳腺癌人群筛查中的应用.方法选取2017年11月~2018年1月我院收治的207例乳腺肿瘤患者作为研究对象,按照自愿分组方法将其分为研究组(106例)与对照组(101例),研究组采用VABB术活检方法,对照组行普通开放手术活检.比较两组病例的切口长度、手术时间、出血量、包扎体验、并发症、术后满意度、保乳率、随访结果等.结果研究组患者的切口长度、手术时间均短于对照组,出血量少于对照组,满意度评分高于对照组,差异有统计学意义(P<0.05).两组患者的包扎体验评分比较,差异无统计学意义(P>0.05).两组患者的恶性占比、淋巴阳性率、保乳率比较,差异无统计学意义(P>0.05).结论VABB具有微创、美观、可一次穿刺多个肿块活检并切除病灶等优势,在可疑乳腺癌肿物活检筛查中可规范应用,针对乳腺癌的治疗值得进一步研究.Objective To explore the application of vacuum-assisted rotational breast biopsy(VABB)in screening suspicious breast cancer patients.Methods A total of 207 patients with breast tumors treated in our hospital from November 2017 to February 2018 was selected as the research objects.According to the method of voluntary grouping,the patients were divided into study group(106 cases)and control group(101 cases).The study group was given VABB biopsy and the control group was given open surgery biopsy.The incision length,operation time,bleeding volume,bandaging experience,complications,postoperative satisfaction,breast conserving rate and follow-up results were compared between the two groups.Results The incision length and operation time of the study group were shorter than those of the control group,the amount of bleeding was less than that of the control group,and the satisfaction score was higher than that of the control group,the differences were statistically significant(P<0.05).There was no significant difference in bandaging experience score between the two groups(P>0.05).There was no significant difference in malignancy,lymphatic positive and breast-conserving rate between the two groups(P>0.05).Conclusion VABB has the advantages of minimally invasive,aesthetic,puncture biopsy and excision of multiple tumors at one time.It can be standardized in the screening of suspected breast cancer tumors.The treatment of breast cancer deserves further study.

关 键 词：乳腺肿瘤 乳腺癌 真空辅助旋切 微创 活检 预后 

分 类 号：R737.9[医药卫生—肿瘤]