微创旋切术治疗分散型乳腺结节的临床疗效及术后复发风险研究  

Clinical efficacy and postoperative recurrence risk of decentralized breast nodules treated with minimally invasive rotational atherectomy

作　　者：李振 潘铃娟[1] 彭积院 LI Zhen;PAN Lingjuan;PENG Jiyuan(Second Department of General Surgery,Fengcheng People's Hospital,Yichun,Jiangxi,331100,China)

机构地区：[1]丰城市人民医院普外二科,江西宜春331100

出　　处：《当代医学》2023年第8期61-64,共4页Contemporary Medicine

摘　　要：目的分析微创旋切术治疗分散型乳腺结节的效果与复发情况。方法选取2019年7月至2020年9月于本院治疗的60例分散型乳腺结节患者作为研究对象,根据手术方法不同分为对照组与观察组,每组30例。对照组采用小切口传统手术,观察组采用超声引导下麦默通微创旋切术,比较两组手术情况、健康状况调查问卷(SF-36)量表评分、乳房美观度、并发症发生率及预后复发率。结果观察组手术时间、术后愈合时间均短于对照组,术中出血量少于对照组,瘢痕长度短于对照组(P<0.05);观察组家庭角色、语言、情绪、个性、精力及社会角色评分均高于对照组(P<0.05);观察组乳房外观良好率高于对照组(P<0.05);观察组并发症发生率低于对照组(P<0.05);两组复发率比较差异无统计学意义。结论微创旋切术治疗分散型乳腺结节的疗效显著,可缩短手术时间和愈合时间,减少术中出血量,提高乳房外观美观度,且安全性较高,值得临床推广应用。Objective To analyze the clinical efficacy and postoperative recurrence risk of decentralized breast nodules treated with minimally invasive rotational atherectomy.Methods 60 patients with scattered breast nodules treated in our hospital from July 2019 to September 2020 were selected as the research subject,and they were divided into control group and observation group according to different surgical methods,with 30 cases in each group.The control group was treated with traditional small incision surgery,while the observation group was treated with ultrasound-guided minimally invasive mammotomy.The operation situation,36-item short-form(SF-36)score,breast aesthetics,incidence of complications and recurrence rate of prognosis were compared between the two groups.Results The operation time and postoperative healing time of the observation group were shorter than that of the control group,the amount of intraoperative bleeding was less than that of the control group,and the length of scar was shorter than that of the control group(P<0.05).The scores of family role,language,emotion,personality,energy and social role in observation group were higher than those in control group(P<0.05).The good appearance rate of breast in observation group was higher than that in control group(P<0.05).The complication rate of observation group was lower than that of control group(P<0.05).There was no significant difference in recurrence rate between the two groups.Conclusion Minimally invasive rotary excision is effective in the treatment of scattered breast nodules,which can shorten the operation time and healing time,reduce the amount of bleeding during operation,and improve the beauty of breast appearance,it is safe and worthy of clinical promotion and application.

关 键 词：微创旋切术 分散型乳腺结节 临床疗效 

分 类 号：R657.42[医药卫生—外科学]