安珂微创旋切系统在乳腺良性肿块切除中的应用及预后影响分析

Application of Anke Minimally Invasive Rotary Cutting System in Benign Breast Tumor Resection and Analysis of its Prognosis

目的:探讨安珂微创旋切系统治疗乳腺良性肿块的临床疗效及对切口愈合及乳房美观度的影响。方法:将笔者医院2017年12月-2019年12月收治的93例乳腺良性肿块患者作为研究对象,按照随机分组法分为对照组(45例)和研究组(48例),对照组行传统乳腺肿块切除术治疗,研究组在B超引导下行安珂微创旋切系统治疗。对比两组患者的临床疗效、切口愈合及术后乳房美观情况。结果:对照组切口长度、术中出血量、手术时间、术后疼痛持续时间以及瘢痕长度、愈合时间均明显多于研究组,治疗费用明显少于研究组,差异有统计学意义(P<0.05);对照组手术满意度明显低于研究组(84.44%vs 97.92%),差异有统计学意义(P<0.05)。两组肿块完整切除率比较差异无统计学意义(100.0%vs 95.83%,P>0.05)。研究组术后并发症发生率仅为4.17%,显著低于对照组的17.78%,差异有统计学意义(P<0.05)。结论:在B超引导下安珂微创旋切系统治疗相较于常规乳腺肿块切除术临床效果显著,加速患者愈合进程,术后并发症发生率低,患者满意度高,在临床上值得推广应用。

Objective To analyze the effect of the Anke minimally invasive rotary cutting system in the treatment of patients with benign breast masses on clinical efficacy,incision healing and breast aesthetics.Methods 93 patients with benign breast mass treated in our hospital from December 2017 to December 2019 were selected as the research object,and were divided into the control group(45 cases)and the study group(48 cases)according to random grouping.The patients in the control group were treated with traditional lumpectomy.The patients in the study group were treated with B-guided Anke minimally invasive rotary cutting system.The clinical efficacy,incision healing and postoperative breast aesthetics of patients between the two groups were compared.Results The incision length,intraoperative blood loss,operation time,postoperative pain duration,scar length and healing time in the control group were significantly more than those in the study group,the cost of treatment was significantly less than that of the study group,the differences were statistically significant(P<0.05).The operation satisfaction of the control group was significantly lower than that of the study group(84.44%vs 97.92%,P<0.05).There was no significant difference in complete resection rate between the two groups(100.0%vs 95.83%,P>0.05).The incidence of postoperative complications in the study group was only 4.17%,significantly lower than that in the control group(17.78%,P<0.05).Conclusion Compared with traditional lumpectomy,the Anke minimally invasive rotary cutting system guided by B ultrasound has a significant clinical effect,and it can accelerate the healing process of patients,have low incidence of postoperative complications.The patient's satisfaction is high,and it is worthy of promotion and application in clinic.