超声引导下穿刺抽液联合高渗糖水治疗单纯性乳腺囊肿的临床研究  

Clinical Study on the Treatment of Simple Breast Cysts with Ultrasound-guided Tapping and Hypertonic Glucose Injection

作　　者：魏栋 WEI Dong(Nanyang First People’s Hospital,Henan Nanyang,443500,China)

机构地区：[1]南阳市第一人民医院,河南南阳443500

出　　处：《承德医学院学报》2020年第5期381-385,共5页Journal of Chengde Medical University

摘　　要：目的探讨超声引导下穿刺抽液联合高渗糖水治疗单纯性乳腺囊肿的疗效。方法选取2017年3月~2018年11月在本院接受治疗的单纯性乳腺囊肿患者110例,按照随机编号法分为对照组和观察组,每组55例,对照组给予超声引导穿刺治疗,观察组给予超声引导穿刺抽液后注射高渗糖水治疗,比较两组患者的治疗效果和不良反应。结果观察组治疗后的总有效率为95.79%,显著高于对照组的83.33%,两组比较差异具有统计学意义(P<0.05)。治疗后观察组囊肿大小明显小于对照组,两组差异具有统计学意义(P<0.05)。观察组不良反应发生率为7.27%,对照组不良反应发生率为10.91%,两组比较差异有统计学意义(P<0.05)。观察组患者术后无复发,对照组术后6个月有2例复发,术后1年有6例复发,对照组的复发率显著高于观察组。结论超声引导下穿刺抽液联合高渗糖水治疗单纯性乳腺囊肿治疗效果好,安全性高,复发率低。Objective To explore the curative effect of ultrasound-guided tapping combined with hypertonic glucose injection in the treatment of simple breast cysts.Methods A total of 110 patients with simple breast cysts,who were treatedin the hospital from March 2017 to November 2018,were selected and divided into control group and observation group by random numbering method,55 cases in each group.The control group was treated with ultrasound-guided puncture,while observation group was injected with hypertonic glucose injection after ultrasound-guided tapping.The curative effect and adverse reactions were compared between the two groups.Results After treatment,total response rate of observation group was signifi cantly higher than that of control group(95.79%vs 83.33%)(P<0.05).After treatment,the size of breast cysts in observation group was signifi cantly smaller than that in control group(P<0.05).The incidence rates of adverse reactions inobservation group and control group were 7.27%and 10.91%respectively(P<0.05).Patients in the observation group had no recurrence after surgery,while 2 patients in the control group had recurrence 6 months after surgery,and 6 patients had recurrence 1 year after surgery.The recurrence rate in the control group was signifi cantly higher than that in the observation group.Conclusion Ultrasound-guided tapping combined with hypertonic glucose injection is effective in the treatment of simple breast cysts,with high safety and low recurrence rate.

关 键 词：超声引导 穿刺 高渗糖水 乳腺囊肿 

分 类 号：R737.9[医药卫生—肿瘤]