超声引导下微创旋切术治疗乳腺良性肿瘤的临床价值

Clinical Value of Ultrasound-Guided Minimally Invasive Resection for Benign Breast Tumors

目的探讨微创旋切术治疗乳腺良性肿瘤的疗效和临床价值。方法将80例确诊为乳腺良性肿瘤患者按随机数字表法分为微创组和传统组,每组各40例,其中微创组采用超声引导下乳腺肿瘤微创旋切手术,传统组采用传统的手术切除,比较2组综合指标(包括手术时间、术中出血量、切口瘢痕长度、住院时间)、手术满意率、复发及并发症发生情况。结果微创组术中出血量少于传统组,手术时间、切口瘢痕长度和住院时间均短于传统组(均P<0.05)。微创组手术满意率高于传统组(97.6%比80.4%),并发症发生率低于传统组(5.0%比17.5%),均P<0.05。随访6~12个月,2组均未见病灶复发。结论乳腺肿瘤微创旋切术不仅可较为完整地切除乳房病灶,手术疗效好,还能获得因微创切除而获得的美观效果。

Objective To explo re th e curativ e efficacy an d clinical v alue of min imal ly invasive resection for benign breast tumors. Methods E ig h ty p a t ie n ts w i th b en ig n b re a s t tum o rs were randomly assigned to receive either ultrasound-guided minimally invasive resection（minimally in-vasive group） or conventional surgical resection（conventional group）. The operation time,intrao-perative blood loss,scar length,hospital stay, satisfaction with operation,recurrence and complica-tions were compared between the two groups. Results Compared w i th co n v en tio n al su rg ica l re -section, ultrasound-guided minimally invasive resection of benign breast tumors reduced intraop-erative blood loss, shortened operation time, scar length and hospital stay, increased operation sat-isfaction rate（97. 6 % vs 80. 4%） ,and decreased incidence of complications（5. 0 % vs 17. 5 %） （P〈C 0. 05）. No lesion recurrence occurred in both groups after follow-up for 6-12 months. Conclusion Minimally invasive resection not only completely removes breast lesions,but also exerts aesthetic effect in patients with benign breast tumors.