真空辅助旋切术治疗乳腺良性肿块的效果分析

Clinical analysis of vacuum-assisted atherectomy of benign breast mass

目的探讨真空辅助旋切术对乳腺良性肿块切除患者乳房美观度及社会适应性的影响。方法选取2017年1月至2019年10月乳腺良性肿块切除患者79例,以随机数字表法分为旋切术组(n=39)和常规组(n=40)。旋切术组行真空辅助旋切术,常规组行常规手术(手术肿块位于乳晕下或离乳晕较近者则选择乳晕切口,肿块离乳晕较远者则选择肿块表面切口)。运用SPSS21.0软件进行分析,围术期各项指标、术后3个月、6个月社会适应性评分(SAQ)等计量资料以(±s)表示,独立t检验;术后6个月乳房美观满意度及复发情况等计数资料采用χ^(2)检验,P<0.05表示差异有统计学意义。结果旋切术组手术时间、住院时间、切口长度、术中出血量均低于常规组,但手术费用高于常规组(P<0.05);旋切术组术后6个月乳房美观满意度高于常规组(P<0.05);两组术后3个月、6个月SAQ评分较术前提高,且旋切术组高于常规组(P<0.05);两组术后6个月复发率相比,差异无统计学意义(P>0.05)。结论乳腺良性肿块切除患者采用真空辅助旋切术,与常规手术效果相当,但具有精准、微创的特点,可提高乳房美观度,改善患者社会适应度。

Objective To investigate the effect of breast aesthetics and social adaptability of patients after vacuum-assisted atherectomy of benign breast mass.Methods The clinical data of 79 patients with benign breast masses underwent resection operation from January 2017 to October 2019 were analyzed retrospectively.79 patients were divided into atherectomy group(39 cases)and conventional group(40 cases)by using random number table.Patients in the atherectomy group underwent vacuum-assisted atherectomy,while conventional surgery were performed in the conventional group.Statistical analysis were performed by using SPSS21.0 software.Measurement data such as perioperative indicators,3 months and 6 months postoperative Social Adaptation Questionnaire score(SAQ)were expressed as,and were examined by using independent t test.The degree of breast aesthetic satisfaction and recurrence were analyzed by usingχ^(2) test.A P value of<0.05 was considered as statistically significant difference.Results The operation time,the time of hospitalization,incision length,and intraoperative blood loss in the atherectomy group were much lower than those in the conventional group respectively,however the operation cost was higher than that in the conventional group(P<0.05).The satisfaction degree of breast aesthetics in the atherectomy group was higher than that in the conventional group at 6 months after operation(P<0.05).The SAQ scores of the two groups were increased at 3 and 6 months after the operation,and the atherectomy group was higher than the conventional group(P<0.05).There was no significant difference of the recurrence rate between the two groups at 6 months after operation(P>0.05).Conclusion Vacuum-assisted atherectomy for patients with benign breast mass resection could achieve similar therapuetic effect as conventional surgery,with advantages of precision and minimal invasiveness,which could improve the cosmetic outcome and the social fitness of patients.