微创旋切术与开放性肿瘤切除术治疗乳腺良性肿瘤患者的效果比较

Comparison of effects of minimally invasive rotary resection and open tumor resection in treatment of patients with benign breast tumors

目的:比较微创旋切术与开放性肿瘤切除术治疗乳腺良性肿瘤患者的效果。方法:选取2022—2023年该院收治的100例乳腺良性肿瘤患者进行前瞻性研究,按随机数字表法将其分为对照组与研究组各50例。对照组采用开放性肿瘤切除术治疗,研究组采用微创旋切术治疗。比较两组手术前后炎性因子[C反应蛋白(CRP)、白细胞介素-6(IL-6)]水平,围术期指标水平、瘢痕长度、美观度[温哥华瘢痕量表(VSS)]评分和术后并发症发生率。结果:术后3 d,两组CRP、IL-6水平均高于术前,但研究组低于对照组,差异有统计学意义(P<0.05);研究组切口愈合时间、住院时间均短于对照组,视觉模拟评分法(VAS)评分低于对照组,差异均有统计学意义(P<0.05);研究组瘢痕长度短于对照组,VSS评分低于对照组,差异均有统计学意义(P<0.05);研究组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:微创旋切术治疗乳腺良性肿瘤患者可降低炎性因子水平、美观度评分和术后并发症发生率,改善围术期指标水平,缩短瘢痕长度,其效果优于开放性肿瘤切除术治疗。

Objective:To compare effects of minimally invasive rotary resection and open tumor resection in treatment of patients with benign breast tumors.Methods:A prospective study was conducted on 100 patients with benign breast tumors admitted to this hospital from 2022 to 2023.According to the random number table method,they were divided into control group and study group,50 cases in each group.The control group was treated with open tumor resection,while the study group was treated with minimally invasive rotary resection.The levels of before and after surgery inflammatory factors[C-reactive protein(CRP),interleukin-6(IL-6)],and perioperative index levels,the scar length,the aesthetics[Vancouver scar scale(VSS)]score,and the incidence of postoperative complications were compared between the two groups.Results:Three days after the surgery,the levels of CRP and IL-6 in the two groups were higher than those before the surgery,but those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incision healing time and the hospitalization time of the study group were shorter than those of the control group,the visual analogue scale(VAS)score was lower than that of the control group,and the differences were statistically significant(P<0.05).The scar length of the study group was shorter than that of the control group,the VSS score was lower than that of the control group,and the differences were statistically significant(P<0.05).Further,the incidence of postoperative complications in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions:Minimally invasive rotary resection in the treatment of the patients with benign breast tumors can reduce the levels of inflammatory factors,the aesthetic scores and the incidence of postoperative complications,improve the levels of perioperative indexes,and shorten the scar length.Moreover,it is superior to open tumor resection.