基层医院开展超声引导下真空辅助旋切系统治疗乳腺良性肿块的临床分析  

Clinical Analysis of Ultrasound-guided Vacuum-assisted Rotary Resection System in the Treatment of Benign Breast Masses in Primary Hospitals

作　　者：赵淼 ZHAO Miao(Department of General Surgery,Jiangyin Changjing Hospital,Jiangyin,Jiangsu Province,214400 China)

机构地区：[1]江阴长泾医院普外科,江苏江阴214400

出　　处：《中外医疗》2024年第9期55-57,61,共4页China & Foreign Medical Treatment

摘　　要：目的探讨基层医院对乳腺良性肿块患者采用超声引导下真空辅助旋切系统完成疾病治疗后获得的临床效果。方法便利选取2021年2月—2023年7月江阴长泾医院收治的42例乳腺良性肿块患者为研究对象,以投掷硬币法分为参照组(21例,采用传统切除手术方法治疗)和研究组(21例,采用超声引导下真空辅助旋切系统治疗)。比较两组并发症总发生率、手术情况以及美观程度评分。结果研究组并发症总发生率(4.76%)低于参照组,差异有统计学意义(χ^(2)=5.559,P<0.05)。研究组术后出血量少于参照组,手术时间、切口长度、住院时间短于参照组,差异有统计学意义(P均<0.05)。研究组色素沉着、乳房形状、乳头乳晕感觉及切口瘢痕评分均高于参照组,差异有统计学意义(P均<0.05)。结论基层医院中合理采用超声引导下真空辅助旋切系统治疗乳腺良性肿块患者,可减少患者的并发症,改善手术情况,提高美观程度,从而促进乳腺良性肿块患者的良好预后。Objective To explore the clinical effect of ultrasound-guided vacuum-assisted rotary resection system in primary hospitals for patients with benign breast masses.Methods 42 patients with benign breast mass admitted to Ji⁃angyin Changjing Hospital from February 2021 to July 2023 were convenient selected as the study subjects.They were divided into the reference group(21 cases,treated with traditional resection surgery)and the study group(21 cases,treated with ultrasound guided vacuum assisted rotary resection system therapy)using the coin toss method.The total incidence of complications,operation status,and aesthetic scores between two groups were compared.Results The to⁃tal incidence of complications in the study group(4.76%)was lower than that in the reference group,and the differ⁃ence was statistically significant(χ^(2)=5.559,P<0.05).The postoperative blood loss in the study group was less than that in the reference group,and the operation time,incision length,hospital stay were shorter than those in the refer⁃ence group,and the differences were statistically significant(all P<0.05).The study group had higher scores in pig⁃mentation,breast shape,papillary areolar sensation and incision scar than the reference group,and the differences were statistically significant(all P<0.05).Conclusion Reasonable use of ultrasound-guided vacuum-assisted rotary re⁃section system in primary hospitals for patients with benign breast masses during the treatment can reduce the compli⁃cations of patients,improve the operation conditions,and improve the aesthetic degree.It can promote the good prog⁃nosis of patients with benign breast mass.

关 键 词：基层医院 超声引导 真空辅助旋切系统 乳腺良性肿块 并发症 手术情况 美观程度 

分 类 号：R655[医药卫生—外科学]