安珂真空辅助微创旋切术治疗乳腺良性肿瘤的疗效  

Efficacy of EnCor vacuum-assisted minimally invasive atherectomy in the treatment of benign breast tumors

作　　者：徐斌[1] 卫利民[1] 刘永萱 梁仁杰[1] Xu Bin;Wei Limin;Liu Yongxuan;Liang Renjie(Department of Breast Oncology,The First Affiliated Hospital of Henan University of Science and Technology,School of Clinical Medicine of Henan University of Science and Technology,Luoyang 471000,China)

机构地区：[1]河南科技大学第一附属医院河南科技大学临床医学院乳腺肿瘤外科,洛阳471000

出　　处：《国际医药卫生导报》2021年第20期3216-3219,共4页International Medicine and Health Guidance News

摘　　要：目的观察安珂真空辅助微创旋切术治疗乳腺良性肿瘤的疗效。方法选取2019年8月至2020年10月在河南科技大学第一附属医院收治的198例乳腺良性肿瘤患者作为研究对象,据简单随机方法进行分组,观察组和对照组各99例。观察组患者的年龄为25~50岁,肿瘤长径4~22 mm;对照组患者年龄26~52岁,肿瘤长径5~21 mm。对照组患者使用常规切除治疗乳腺良性肿瘤,观察组患者使用安珂真空辅助微创旋切术进行治疗。比较两组的治疗效果、术后疼痛程度、生活质量及并发症。结果观察组患者的手术时间[(22.85±5.47)min]、切口愈合时间[(3.86±0.92)d]及住院时间[(5.12±0.46)d]均短于对照组[(49.71±6.32)min、(6.22±1.15)d、(8.83±0.79)d](均P<0.05),术中出血量[(15.46±4.23)ml]少于对照组[(28.73±4.41)ml](P<0.05),切口长度[(4.42±1.01)mm]短于对照组[(26.54±2.87)mm](P<0.05)。观察组患者术后12 h与36 h的视觉模拟评分法(VAS)评分[(3.36±0.84)分、(1.06±0.25)分]均低于对照组[(4.19±0.97)分、(2.15±0.42)分](均P<0.05)。术前两组患者的世界卫生组织生存质量测定量表(WHOQOL-100)评分差异无统计学意义(P>0.05),手术后1个月观察组患者的WHOQOL-100评分(82.14±5.45)分高于对照组(76.29±5.49)分(P<0.05)。对照组患者的不良反应发生率[14.14%(14/99)]较观察组高[3.03%(4/99)](P<0.05)。结论安珂真空辅助微创旋切术在乳腺良性肿瘤的治疗中效果突出,手术时间减少,手术损伤小,术后恢复进程加快,且患者的生活质量显著改善。Objective To observe the efficacy of EnCor vacuum-assisted minimally invasive atherectomy in the treatment of benign breast tumors.Methods A total of 198 patients with benign breast tumors in The First Affiliated Hospital of Henan University of Science and Technology from August 2019 to October 2020 were selected as the research subjects,and were grouped according to the simple random method,including 99 cases in the observation group and 99 cases in the control group.the patients in the observation group were 25 to 50 years old with a tumor diameter of 4 to 22 mm;the patients in the control group were 26 to 52 years old with a tumor diameter of 5 to 21 mm.The control group received conventional resection for the treatment of benign breast tumors,and the observation group received EnCor vacuum-assisted minimally invasive atherectomy.The treatment effect,postoperative pain level,quality of life,and complications were compared between the two groups.Results The operative time[(22.85±5.47)min],wound healing time[(3.86±0.92)d],and hospital stay[(5.12±0.46)d]in the observation group were shorter than those in the control group[(49.71±6.32)min,(6.22±1.15)d,and(8.83±0.79)d](all P<0.05),the amount of intraoperative blood loss[(15.46±4.23)ml]was lower than that in the control group[(28.73±4.41)ml](P<0.05),and the incision length[(4.42±1.01)mm]was shorter than that in the control group[(26.54±2.87)mm](P<0.05).The Visual Analogue Scale(VAS)scores of the observation group 12 and 36 h after the surgery[(3.36±0.84)points and(1.06±0.25)points]were lower than those of the control group[(4.19±0.97)points and(2.15±0.42)points](both P<0.05).There was no statistically significant difference in the World Health Organization Quality of Life-100(WHOQOL-100)score between the two groups before the surgery(P>0.05),and the WHOQOL-100 score of the observation group[(82.14±5.45)points]was higher than that of the control group[(76.29±5.49)points]one month after the surgery(P<0.05).The incidence of adverse reactions in the cont

关 键 词：安珂真空辅助微创旋切术 乳腺良性肿瘤 疗效 生活质量 

分 类 号：R737.9[医药卫生—肿瘤]