超声引导辅助微创旋切术应用于乳腺良性病灶中的有效性及安全性研究  

Study on Efficacy and Safety of Ultrasound-guided Assisted Minimally Invasive Gyrotomy in Benign Breast Lesions

作　　者：尹雯 YIN Wen(Department of Ultrasound,Ezhou Hospital of Traditional Chinese Medicine,Ezhou 436000,China)

机构地区：[1]鄂州市中医医院超声科,湖北鄂州436000

出　　处：《中国医学创新》2024年第28期133-137,共5页Medical Innovation of China

摘　　要：目的:研究超声引导辅助微创旋切术应用于乳腺良性病灶中的有效性及安全性。方法:选取鄂州市中医医院2022年5月—2023年5月收治的70例乳腺良性病灶患者。将其以系统化随机法分为超声引导组(n=35)及传统组(n=35)。传统组开展传统开放手术治疗,超声引导组则开展超声引导辅助微创旋切术治疗。对比两组有效性、安全性、血清应激反应指标水平、乳房外观评分。结果:超声引导组手术时长、切口愈合时长及住院天数均短于传统组,且术中出血量少于传统组,差异均有统计学意义(P<0.05)。超声引导组术后并发症发生率低于传统组(5.71% vs 25.71%),差异有统计学意义(P<0.05)。术后1 d,两组各项应激反应指标水平均高于术前,但超声引导组均低于传统组,差异均有统计学意义(P<0.05)。超声引导组各项乳房外观评分均高于传统组,差异均有统计学意义(P<0.05)。结论:超声引导辅助微创旋切术应用于乳腺良性病灶中的有效性及安全性均较佳,且能有效减轻应激反应,对乳房外观的影响较小。Objective:To study the efficacy and safety of ultrasound-guided assisted minimally invasive gyrotomy in benign breast lesions.Method:A total of 70 patients with benign breast lesions were selected in Ezhou Hospital of Traditional Chinese Medicine from May 2022 to May 2023,they were divided into ultrasonic-guided group(n=35)and traditional group(n=35)by systematic random method.The traditional group was treated with traditional open surgery,and the ultrasound-guided group was treated with ultrasound-guided minimally invasive gyrotomy.Efficacy,safety,serum stress response index level and breast appearance scores were compared between two groups.Result:The operation time,incision healing time and hospitalization days in the ultrasound-guided group were shorter than those in the traditional group,and the intraoperative blood loss was less than that in the traditional group,the differences were statistically significant(P<0.05).The incidence of postoperative complications in the ultrasound guided group was lower than that in the traditional group(5.71%vs 25.71%),the difference was statistically significant(P<0.05).On 1 day after surgery,the levels of stress response indexes in both groups were higher than those before surgery,but those in ultrasound-guided group were lower than those in traditional group,the differences were statistically significant(P<0.05).The appearance scores of all breasts in ultrasound guided group were higher than those in traditional group,the differences were statistically significant(P<0.05).Conclusion:Ultrasound-guided assisted minimally invasive gyrotomy are effective and safe in benign breast lesions,and can effectively reduce stress response,with little impact on breast appearance.

关 键 词：乳腺良性病灶 超声引导 微创旋切术 有效性 安全性 应激反应 乳房外观 

分 类 号：R655.8[医药卫生—外科学] R445.1[医药卫生—临床医学]