不同切面超声引导下乳腺肿瘤微创旋切术的疗疗效观察

目的探讨不同切面超声引导下乳腺良性肿瘤微创旋切术的疗效及护理配合。方法选择乳腺良性肿瘤女性患者195例（369个病灶）。按照不同切面超声引导分为2组：A组81例（150个病灶），单纯纵切面超声引导。B组114例（219个病灶），纵切面超声引导联合横切面超声引导，比较两组临床效果。结果A、B组间乳腺肿瘤完全切除率比较，差异无统计学意义（P〉0.05）；B组不同直径乳腺肿瘤的旋切次数均较A组明显减少，差异有统计学意义（p〈0．05）；B组不同直径乳腺肿瘤的旋切时间均较A组明显缩短（P〈0．05）；B组并发症发生率明显低于A组（P〈0.05）。结论纵切面超声引导联合横切面超声引导在乳腺良性肿瘤微创旋切术中的临床应用价值优于单纯纵切面超声引导，值得临床推广。

Objective To investigate the clinical effect and nursing cooperation of minimally invasive rotational resection of breast benign tumors under different ultrasound guidance. Methods 195 female patients with breast benign tumors in our hospital were selected as the subjects, with 369 lesions in all. According to the different ultrasound guidance, they were divided into group A （81 cases, 150 lesions, single longitudinal ultrasound guidance ） and group B （ 114 cases, 219 lesions, longitudinal ultrasound guidance combined with transverse ultrasound guidance ） , and the clinical effect of the two groups were compared and analyzed. Results The difference of breast tumor complete resection rate between group A and B was not statistically significant （ P〉0.05 ） . In different diameter breast tumors, rotary cuttiug frequencies in group B were significantly less than those in group A, the difference was statistically significant （ P〈0.05 ） . In different diameter breast tumors, rotary cutting time in group B was significantly shorter than that in group A, the difference was statistically significant （ P〈0.05 ） . The complication rate in group B was significantly less than that in group A, the difference was statistically significant （ P〈0.05 ） . Conclusion Longitudinal ultrasound guidance combined with transverse ultrasound guidance is superior to simple longitudinal ultrasound guidance in minimally invasive rotational resection of breast benign tumors, worthy of clinical promotion.