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超声引导下真空辅助旋切术与开放切除术治疗合并钙化灶乳腺肿块的效果比较

Ultrasound-guided vacuum-assisted rotary resection versus open resection in treatment of breast masses with calcification

    摘要
  • 摘要:
      目的   比较超声引导下真空辅助旋切术与开放切除术治疗合并钙化灶乳腺肿块的效果。
      方法   回顾性分析88例合并钙化灶乳腺肿块患者的临床资料，根据手术方式的不同将患者分为旋切组45例和开放组43例。旋切组采用超声引导下真空辅助旋切术治疗，开放组采用开放切除术治疗。比较2组钙化灶切除率、手术时间、术中出血量、切口愈合时间、瘢痕长度、术后并发症、术后疼痛评分和满意度情况。
      结果   旋切组钙化灶切除率为95.56%, 开放组钙化灶切除率为100.00%。旋切组手术时间、切口愈合时间、瘢痕长度短于开放组，术中出血量少于开放组，差异有统计学意义(P < 0.05)。2组患者术后局部血肿、切口感染、外形改变及病灶残留情况比较，差异无统计学意义(P>0.05)。旋切组术后疼痛评分低于开放组，满意度高于开放组，差异有统计学意义(P < 0.05)。
      结论   超声引导下真空辅助旋切术治疗合并钙化灶乳腺肿块效果显著，具有手术时间短、出血量少、愈合时间短、切口瘢痕小、疼痛轻微、患者满意度高的优点。

     

    Abstract:
      Objective   To compare the effect of ultrasound-guided vacuum-assisted rotary resection and open resection in the treatment of breast masses with calcification.
      Methods   The clinical data of patients with calcified breast masses was analyzed. According to different surgical methods, they were divided into rotary resection group (45 cases) and open resection group (43 cases). The rotary resection group was treated with ultrasound-guided vacuum-assisted rotary resection, and the open resection group was treated with open resection. The resection rate of calcification, operation time, intraoperative bleeding, incision healing time, scar length, postoperative complications, postoperative pain score and satisfaction score were compared between the two groups.
      Results   The resection rate of calcification in the rotary resection group was 95.56%, and 100.00% in the open resection group. The operation time, incision healing time and scar length in the rotary resection group were shorter than those in the open resection group, and the amount of intraoperative bleeding was less than that in the open resection group (P < 0.05). There were no significant differences in postoperative local hematoma, incision infection, shape changes and residual lesions between the two groups (P>0.05). The postoperative pain score of the rotary resection group was lower than that of the open resection group, and the satisfaction score was higher than that of the open resection group (P < 0.05).
      Conclusion   Ultrasound-guided vacuum-assisted rotary resection is effective in the treatment of breast masses with calcification, and has the advantages of short operation time, less bleeding, short healing time, small incision scar, mild pain and high patients′satisfaction.

     

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