乳腺良性肿块超声引导Mammotome切除术与常规切除手术并发症对比分析

An analysis of post-operative complication comparison between conventional benign mastadenoma excision and ultrasonic-guided excision Mammotome

目的分析经超声引导Mammotome乳腺良性肿块切除术后118例患者并发症发生情况及术后疗效。方法 2011年2月至2013年2月本院共528例患者被诊断需行乳腺肿块切除术。采用数字法将其随机分为观察组（264例）和对照组（264例）。两组患者均行乳腺肿块切除术。观察组患者采用超声引导Mammotome乳腺肿块切除术;对照组患者行常规乳腺肿块切除术。对比两组患者术后疗效、并发症等情况。结果观察组疗效为优者占71.59%（189/264）,优良率为93.56%（247/264）,均显著高于对照组[47.73%（126/264）,64.77%（171/264）],差异均有显著性（P均〈0.05）。术后观察组患者出现血肿46例、气胸16例、皮肤瘀斑54例、术后复发2例,经过6～24个月的随访,术后复发2例,均显著少于对照组（血肿54例、气胸21例、皮肤瘀斑63例、术后复发19例）,差异均有显著性（P均〈0.05）。观察组患者出血量为（1.83±0.31）ml,出血时间为（3.61±1.25）分钟,均显著少于对照组[（15.57±2.18）ml、（20.54±2.83）分钟],差异均有显著性（P均〈0.05）。结论超声引导Mammotome乳腺良性肿块切除术后患者并发症少,且疗效更显著,复发少,安全性高,术后效果更加美观,值得在临床常规手术治疗中推广应用。

Objective To analyze the Mammotome of benign breast mass resection of 118 cases with complications after guided by ultrasound. Method From February 2011 to February 2013 in our hospital, a total of 528 cases of patients were diagnosed for breast surgery. The figures were randomly divided into observation group（264 cases） and control group（264 cases）. On two groups of patients underwent lumpectomy. The observation group were treated by ultrasound guided Mammotome for breast mass excision; the control group underwent lumpectomy. Compared two groups of patients with postoperative curative effect, complications. Result The curative effect of therapeutic group was excellent accounted for more than 71.59%（189/264）, the excellent and good rate was 93.56%（247/264）, were significantly higher than those in control group 47.73%（126/264）, 64.77%（171/264）. The differences were statistically significant（P〈0.05）. The patients in observation group were 118 cases occurred complications, postoperative patients with hematoma occurred in 46 cases, 16 cases of pneumothorax, skin ecchymosis in 54 cases, after 6 ～ 24 months of followedup, 2 cases of postoperative recurrence, were significantly less than that of the control group of 54 cases, 21 cases, 63 cases, 19 cases. The differences were statistically significant（P〈0.05）. The observation group was（1.83±0.31） ml, amount of bleeding, bleeding when the length of（3.61±1.25） minutes, were significantly less than that of the control group was（15.57±2.18） ml,（20.54±2.83） minutes. The differences were statistically significant（P〈0.05）. Conclusion Ultrasound guided Mammotome benign breast tumor resection with fewer postoperative complications, and more remarkable curative effect, less recurrence, high safety, postoperative effect is more beautiful, is worth to be widely used in clinical routine operation therapy.