超声引导下真空辅助乳腺活检术治疗乳腺良性肿瘤的效果及安全性  

Efficacy and safety of ultrasound-guided vacuum assisted breast biopsy in the treatment of benign breast tumors

作　　者：张如辉 刘尚军 王沛 ZHANG Ruhui;LIU Shangjun;WANG Pei(The Third Department of General Surgery,Maanshan Shiqiye Hospital,Anhui Province,Maanshan243000,China)

机构地区：[1]安徽省马鞍山十七冶医院普外三科,安徽马鞍山243000

出　　处：《中国医药导报》2021年第23期108-111,共4页China Medical Herald

摘　　要：目的探究超声引导下真空辅助乳腺活检术(VABB)治疗乳腺良性肿瘤的效果及安全性。方法选择2019年1月至2021年1月在安徽省马鞍山十七冶医院进行手术治疗的118例乳腺良性肿瘤患者作为研究对象,根据手术方式将其分为观察组(67例)、对照组(51例)。观察组患者采用超声引导下VABB术进行治疗,对照组患者采用开放性手术进行治疗。比较两组手术相关指标、术后并发症发生情况及乳房畸形、肿块残留和复发情况。结果观察组手术时间、切口愈合时间、住院时间均短于对照组(P<0.05);术中出血量少于对照组(P<0.05);术后24 h疼痛程度评分低于对照组(P<0.05);癜痕长度短于对照组(P<0.05)。观察组术后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。观察组乳房畸形率低于对照组,差异有统计学意义(P<0.05)。观察组中未见肿块残留和原位复发。结论相对于开放性手术,超声引导下VABB术在治疗乳腺良性肿瘤上的手术时间更短,手术创伤更小,术后恢复更快,术后并发症更少,对乳房外观的影响更小,值得在临床上积极推广。Objective To research the efficacy and safety of ultrasound-guided vacuum assisted breast biopsy(VABB)in the treatment of benign breast tumors.Methods A total of 118 patients with benign breast tumors who underwent surgical treatment in the Maanshan Shiqiye Hospital,Anhui Province from January 2019 to January 2021 were selected as the research subjects,they were divided into observation group(67 cases)and control group(51 cases)according to different surgical methods.Patients in the observation group were treated with ultrasound-guided VABB,and patients in the control group were treated with open surgery.Operation-related indexes,postoperative complications,breast deformity,residual mass and recurrence were compared between the two groups.Results The operation time,wound healing time and hospitalization time of observation group were shorter than those of control group(P<0.05).The amount of intraoperative blood loss was less than that of control group(P<0.05).24 h postoperative pain score was lower than that of control group(P<0.05).The length of purpura marks was shorter than that of control group(P<0.05).The total incidence of postoperative complications in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).The rate of breast deformity in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).No residual mass and in situ recurrence were observed in the observation group.Conclusion Compared with open surgery,ultrasound-guided VABB in the treatment of benign breast tumor has shorter operation time,less surgical trauma,faster postoperative recovery,fewer postoperative complications,and less impact on the appearance of the breast,which is worthy of active promotion in clinical practice.

关 键 词：真空辅助乳腺活检 乳腺良性肿瘤 超声引导 术后并发症 开放性手术 

分 类 号：R73[医药卫生—肿瘤]