超声引导安珂旋切术对乳腺良性肿物手术患者术后康复进程及并发症发生率的影响

Investigate the effect of ultrasound-guided Ann correctomy on postoperative rehabilitation process and incidence of complications in patients with breast benign tumor surgery

目的:探究超声引导安珂旋切术对乳腺良性肿物手术患者术后康复进程及并发症发生率的影响.方法:选取我院2018年4月至2020年4月期间收治的94例乳腺良性肿物患者作为研究对象,按照手术方法不同分为研究组和对照组,各47例.研究组接受超声引导安珂旋切术,对照组接受传统切除术,比较两组围术期指标、术后康复状况、视觉模拟法(Visual analogue scale,VAS)评分、炎性因子水平、切口满意度及并发症发生率.结果:研究组术后1 m腔内积液量、切口愈合时间明显低于对照组(P<0.05);研究组切口长度、手术时间、住院时间、术中出血量均明显少于对照组(P<0.05);研究组术后6 h、24 h VAS评分均明显低于对照组(P<0.05);研究组并发症总发生率明显低于对照组(P<0.05);研究组切口满意度明显高于对照组(P<0.05);术后3 d,研究组炎性因子神经肽Y、前列腺素E2、白细胞介素-10水平均明显低于对照组(P<0.05).结论:乳腺良性肿物患者采用超声引导安珂旋切术可缩短手术时间,减少术中出血量,减轻疼痛程度,降低炎性因子水平,促进术后康复,减少并发症的发生.

Objective:To explore the effect of ultrasound-guided Ancor excision on the postoperative rehabilitation process and the incidence of complications in patients with benign breast tumors.Methods:A total of 94 patients with benign breast tumors admitted to our hospital from April 2018 to April 2020 were selected as the research subjects,and were divided into a study group and a control group according to different surgical methods,with 47 patients in each group.The study group received ultrasound-guided Ann Arc resection,and the control group received traditional resection.The perioperative indicators,postoperative rehabilitation status,visual analog scale(VAS)scores,inflammatory factor levels,incision satisfaction,and complication incidence were compared between the two groups.Results:The amount of intraluminal fluid accumulation and incision healing time in the study group were significantly lower than those in the control group one month after surgery(P<0.05).The incision length,surgical time,hospital stay,and intraoperative bleeding in the study group were significantly lower than those in the control group(P<0.05).VAS scores of the study group at 6 hours and 24 hours after surgery were significantly lower than those of the control group(P<0.05).The total incidence of complications in the study group was significantly lower than that in the control group(P<0.05).The satisfaction with incisions in the study group was significantly higher than that in the control group(P<0.05).Three days after surgery,the levels of inflammatory factors neuropeptide Y,prostaglandin E2 and interleukin-10 in the study group were significantly lower than those in the control group(P<0.05).Conclusion:Ultrasound-guided Ann Arc resection for patients with benign breast tumors can shorten the operation time,reduce the amount of intraoperative bleeding,relieve pain,reduce the level of inflammatory factors,promote postoperative rehabilitation,and reduce the incidence of complications.