超声辅助水平式乳腺微创旋切术在乳腺浅表肿物切除中的应用  

Application of ultrasound-assisted horizontal minimally invasive breast gyrotomy in excision of superficial breast masses

作　　者：钱琼 魏生岚 QIAN Qiong;WEI Shenglan(Department of Special Inspection,Shengzhou Hospital of Traditional Chinese Medicine,Zhejiang Province,Shengzhou312400,China)

机构地区：[1]浙江省嵊州市中医院特检科,浙江嵊州312400

出　　处：《中国医药导报》2023年第31期110-113,共4页China Medical Herald

基　　金：浙江省医药卫生科技计划项目(2019RC248)。

摘　　要：目的探讨超声辅助水平式乳腺微创旋切术在乳腺浅表肿物切除中的应用效果。方法选择2019年1月至2022年3月浙江省嵊州市中医院收治的86例乳腺浅表肿物患者,按照随机数字表法将其分成研究组与对照组,各43例。对照组接受传统垂直式乳腺微创旋切术切除,研究组接受超声辅助水平式乳腺微创旋切术切除。比较两组围手术期相关指标、术后疼痛情况、术后并发症、美容效果及预后情况。结果两组切口长度、愈合时间比较,差异无统计学意义(P>0.05)。研究组手术时间短于对照组,术中出血量少于对照组(P<0.05)。术后24 h两组视觉模拟评分法(VAS)评分均低于术后6 h,且研究组术后6 h、术后24 h VAS评分低于对照组(P<0.05)。研究组并发症总发生率低于对照组(P<0.05)。研究组术后6个月温哥华瘢痕量表评分低于对照组(P<0.05)。术后6个月,两组无肿物残留率比较,差异无统计学意义(P>0.05)。结论超声辅助水平式乳腺微创旋切术切除乳腺浅表肿物疗效确切,可缩短手术时间,减轻手术创伤与术后疼痛,促进患者康复,提升美容效果,预后良好,且安全可靠。Objective To investigate the application effect of ultrasonic-assisted horizontal minimally invasive breast gyrotomy in excision of superficial breast masses.Methods A total of 86 patients with superficial breast masses admitted to Shengzhou Hospital of Traditional Chinese Medicine from January 2019 to March 2022 were selected and they were divided into study group and control group by random number table method,with 43 cases in each group.The control group received traditional vertical minimally invasive breast gyrotomy,while the study group received ultrasound-assisted horizontal minimally invasive breast gyrotomy.The perioperative related indicators,postoperative pain,postoperative complications,cosmetic effects,and prognosis were compared between the two groups.Results There was no significant difference in incision length and healing time between the two groups(P>0.05).The operation time of the study group was shorter than that of the control group,the intraoperative blood loss in the study group was lower than that in the control group(P<0.05).The visual analogue scale(VAS)scores of both groups were lower at 24 h after surgery than that at 6 h after surgery(P<0.05),and the VAS score of the study group was lower than that of the control group at 6 and 24 h after surgery(P<0.05).The total incidence of complication of the study group was lower than that of the control group(P<0.05).The vancouver scar scale score of the study group was lower than that of the control group at six months after surgery(P<0.05).Six months after surgery,there was no difference in the residual rate of tumor between the two groups(P>0.05).Conclusion Ultrasound-assisted horizontal minimally invasive breast gyrotomy is effective in resection of superficial breast tumors.It can shorten the operation time,reduce the surgical trauma and postoperative pain,promote the recovery of patients,and improve the cosmetic effect.The prognosis is good,and it is safe and reliable.

关 键 词：超声 水平式乳腺微创旋切术 乳腺浅表肿物 有效性 安全性 

分 类 号：R655.8[医药卫生—外科学]