临床触诊阴性的乳腺良性结节麦默通微创手术与传统手术的临床疗效对比

Comparison of Clinical Efficacy of Mammotome Minimally Invasive Surgery with Traditional Surgery for Benign Breast Nodules with Negative Clinical Palpation

目的探讨麦默通微创旋切技术在实际的触诊阴性乳腺良性结节治疗过程中的运用。方法回顾性选取江南大学附属医院甲乳外科于2019年6月—2021年6月收治的100例临床触诊阴性的乳腺良性结节患者的临床资料,按照手术方式的不同分为观察组(麦默通微创旋切术)与对照组(传统开放手术),每组50例,对比分析两组患者手术指标、术后乳腺外形满意度、术后原位复发率、术后切口内血肿形成等观察指标。结果观察组手术时长、切口长度、伤口愈合期、住院时间、疼痛视觉模拟评分均优于对照组,差异有统计学意义(P均<0.05)。观察组切口感染率(0)明显低于对照组(10.00%),差异有统计学意义(χ^(2)=5.263,P<0.05)。观察组乳腺外形满意度明显高于对照组,差异有统计学意义(P<0.05)。两组患者原位复发率比较,差异无统计学意义(P>0.05)。观察组切口内血肿发生率低于对照组,差异有统计学意义(P<0.05)。结论超声引导下的麦默通微创旋切术在治疗临床触诊阴性乳腺良性结节应用上具有手术时长短、切口长度短、术后疼痛轻、伤口愈合时间短、术后并发症少、住院时间短、术后乳腺外形满意度高等技术优势。

Objective To explore the application of mammotome minimally invasive circumferential technique in the treatment of negative benign breast mass by palpation.Methods Clinical data of 100 patients with benign breast nod⁃ule with negative palpation admitted to the Department of Breast Surgery of the Affiliated Hospital of Jiangnan Univer⁃sity from June 2019 to June 2021 were retrospectively selected and divided into observation group(Mammotome mini⁃mally invasive circumferential surgery)and control group(traditional open surgery)according to different surgical methods,with 50 cases in each group.The surgical indicators,postoperative breast shape satisfaction,postoperative in situ recurrence rate,postoperative incision hematoma formation and other observation indicators of two groups were compared.Results The operation duration,incision length,wound healing period,hospital stay and visual simulation score of pain in the observation group were better than those in the control group,and the differences were statisti⁃cally significant(all P<0.05).The incision infection in the observation group was 0,lower than that in the control group(10.00%),and the difference was statistically significant(χ^(2)=5.263,P<0.05).The satisfaction of breast shape was significantly higher than that of control group,and the difference was statistically significant(P<0.05).There was no significant difference in the in situ recurrence rate between the two groups(P>0.05).The incidence of intraincision hematoma in the observation group was lower than that in the control group,and the difference was statistically signifi⁃cant(P<0.05).Conclusion Ultrasound-guided minimally invasive Mammotome rotorectomy has the advantages of short operation time,short incision length,light postoperative pain,short wound healing time,fewer postoperative complications, short hospital stay, and high postoperative breast shape satisfaction in the treatment of clinically palpated negative benign breast nodules.