超声自动乳腺全容积成像技术在乳房重建术中应用研究

Application of Ultrasound Automatic Breast Volume Imaging in Breast Reconstruction

目的:探究乳房重建手术过程中超声自动乳腺全容积成像技术(automated breast volume scanning,ABVS)的临床应用效果。方法:选取本院乳腺外科2015年1月至2017年1月收治的行乳房重建患者40例为研究对象,采用随机分组法,分为对照组与研究组,每组20例。研究组术前采用ABVS对乳房数据进行测量,进行术前设计;对照组采用传统手工测量与经验公式结合的方式。术后对比分析两组患者乳房相关数据差值及3个月生活质量调查结果。结果:术后测量显示研究组双侧乳房数据差值明显小于对照组,差异有统计学意义(P<0.05);术后3个月生活质量调查显示研究组生理、功能及附加关注方面得分明显高于对照组,差异有统计学意义(P<0.05),在社会/家庭及情感方面,两组间差异无统计学意义(P>0.05)。结论:乳房重建术前应用超声自动乳腺全容积成像技术进行相关数据测量,可显著提高患者术后双侧乳房对称性及其生活质量,可在临床上推广应用。

Objective To explore the clinical application of automatic mammography automated breast volume scanning （ABVS） during mammography. Methods Forty patients underwent breast reconstruction from January 2015 to January 2017 in our hospital. The patients were divided into control group and study group, 20 cases in each group. The study group used ABVS to measure breast data before operation and designed before operation. The control group used traditional manual measurement combined with empirical formula to measure breast data. The difference of breast related data and the quality of life in 3 months were compared and analyzed in two groups. Results The postoperative measurement showed that the difference of bilateral breast data was significantly less than that of the control group （P〈0.05）. The quality of life after 3 months showed that the scores of physiology, function and additional attention in the study group were significantly higher than those in the control group, the difference was statistically significant （P〈0.05）.There were no statistically significant differences between the two groups in terms of social/family or emotional status （P〉0.05）. Conclusion The ultrasonic automatic breast volume imaging technique before the reconstruction of the room can measure the relative data and improve the symmetry of bilateral breast and the quality of life after operation. It can be popularized and applied in clinic.