超声引导下微波消融与微创旋切术治疗乳腺良性肿瘤的效果及安全性  

Effect and Safety of Ultrasound-guided Microwave Ablation and Minimally Invasive Rotational Resection in the Treatment of Benign Breast Tumors

作　　者：杜京丽 黄嘉杰 洪亮 郑茂煌 傅志荣 DU Jingli;HUANG Jiajie;HONG Liang;ZHENG Maohuang;FU Zhirong(Putian 95 Hospital,Putian 351100,China;不详)

机构地区：[1]莆田九十五医院,福建莆田351100

出　　处：《中外医学研究》2023年第34期119-122,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:观察超声引导下微波消融与微创旋切术治疗乳腺良性肿瘤的效果及安全性。方法:本研究为一项前瞻性研究,纳入2020年1月—2023年6月莆田九十五医院收治的85例乳腺良性肿瘤患者为研究对象,采用随机数表法将患者分为消融组(n=43)和旋切组(n=42)。消融组应用超声引导下微波消融术治疗,旋切组应用超声引导下微创旋切术治疗。比较两组术中出血量、手术时间、住院时间、术后乳房美观度及术后并发症发生情况,统计两组术后1个月、3个月复查时肿瘤残留情况。结果:消融组术中出血量少于旋切组,手术时间短于旋切组,差异有统计学意义(P<0.05);但两组住院时间比较,差异无统计学意义(P>0.05)。两组术后整体乳房美观度及乳房美观度优良率比较,差异无统计学意义(P>0.05)。消融组术后并发症发生率低于旋切组,差异有统计学意义(P<0.05)。两组术后1个月肿瘤残留率比较,差异无统计学意义(P>0.05);消融组术后3个月肿瘤残留率低于旋切组,差异有统计学意义(P<0.05)。结论:超声引导下微波消融术与微创旋切术治疗乳腺良性肿瘤均有效,但前者术中出血少,手术时间短,并发症少,术后肿瘤残留率低。Objective:To observe the effect and safety of ultrasound-guided microwave ablation and minimally invasive rotational resection in the treatment of benign breast tumors.Method:This study was a prospective study,85 patients with benign breast tumors who admitted to Putian 95 Hospital from January 2020 to June 2023 were selected as the study objects,the patients were divided into the ablation group(n=43)and the rotational resection group(n=42)by random number table method.The ablation group was treated with ultrasound-guided microwave ablation,while the rotational resection group was treated with ultrasound-guided minimally invasive rotational resection.The intraoperative blood loss,operation time,hospitalization time,postoperative breast aesthetics and postoperative complications were compared between two groups,the tumor residual rates of two groups at 1 month and 3 months after operation were statistically analyzed.Result:The intraoperative bleeding in the ablation group was less than that in the rotational resection group,and the surgical time was shorter than that in the rotational resection group,the differences were statistically significant(P<0.05);but there was no statistical significant difference in the hospitalization time between the two groups(P>0.05).There were no statistical significant differences in the overall breast aesthetics and the rate of excellent breast aesthetics after surgery between two groups(P>0.05).The incidence of postoperative complications in the ablation group was lower than that in the rotational resection group,the difference was statistically significant(P<0.05).There was no statistical significant difference in tumor residual rate between two groups at 1 month after operation(P>0.05);the tumor residual rate in the ablation group at 3 months after operation was lower than that in the rotational resection group,the difference was statistically significant(P<0.05).Conclusion:Both ultrasound-guided microwave ablation and minimally invasive rotational resection are effective in the

关 键 词：乳腺良性肿瘤 超声引导 微波消融术 微创旋切术 肿瘤残留 

分 类 号：R737.9[医药卫生—肿瘤]