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超声引导下麦默通微创旋切手术在乳腺良性肿瘤治疗中的应用及对炎症因子和激素的影响 被引量:8

Ultrasound-Guided Mammotome Minimally Invasive Surgical Treatment in the Treatment of Benign Breast Tumors and Its Influence on Inflammatory Factors and Hormones
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摘要 目的分析超声引导下麦默通微创旋切手术治疗乳腺良性肿瘤的效果。方法选取收治的112例乳腺良性肿瘤患者为研究对象,按照患者意愿及手术方法将其分为对照组(54例)及研究组(58例)。对照组患者实施常规乳腺肿瘤切除,研究组给予超声引导下麦默通微创旋切手术,两组均随访6个月。治疗后统计两组手术指标、治疗前后炎症因子和激素水平,随访结束后统计患者生存质量及复发情况。结果研究组手术和切口愈合时间较对照组短,术中出血量减少,瘢痕长度缩短(P<0.05)。两组患者治疗后血清E2、P、IL-1水平均较治疗前降低,且研究组低于对照组(P<0.05)。两组治疗后6个月QOL-BERF评分较治疗前升高,且研究组高于对照组(P<0.05);研究组复发率低于对照组(P<0.05)。结论超声引导下麦默通微创旋切手术治疗乳腺良性肿瘤对患者的损伤轻微,患者术后炎性症状小,可降低机体激素水平,同时切口瘢痕小,患者预后好。 Objective To analyze the effect of ultrasound-guided Mammotome minimally invasive surgical treatment of benign breast tumors.Methods A total of 112 patients with benign breast tumors were selected as the research subjects,and they were divided into a control group(54 cases)and a study group(58 cases)according to the patient's wishes and surgical methods.Patients in the control group underwent conventional breast tumor resection,and the study group received ultrasound-guided minimally invasive surgical resection of Mammotome.Both groups were followed up for 6 months.After treatment,statistics of the two groups of surgical indicators,inflammatory factors,and hormone levels before and after treatment were counted.After the follow-up,the patients'quality of life and recurrence were counted.Results The operation and incision healing time of the study group was shorter than that of the control group,the blood loss during the operation was reduced,and the scar length was shortened(P<0.05).After treatment,serum E2,P,IL-1 levels of the two groups were lower than before treatment,and the study group was lower than the control group(P<0.05).The QOL-BERF scores of the two groups were higher than before treatment 6 months after treatment,and the study group was higher than the control group(P<0.05);the recurrence rate of the study group was lower than that of the control group(P<0.05).Conclusion The ultrasound-guided Mammotome minimally invasive surgical treatment of benign breast tumors has minimal damage to the patient,the patient has fewer postoperative inflammatory symptoms,and reduces the level of body hormones.At the same time,the incision scar is small,and the patient's prognosis is good.
作者 葛继帮 李学广 GE Ji-bang;LI Xue-guang(Department of Ultrasound,Puyang Maternal and Child Health Hospital,Puyang 457000,Henan Province,China)
出处 《罕少疾病杂志》 2021年第5期48-49,62,共3页 Journal of Rare and Uncommon Diseases
关键词 乳腺良性肿瘤 超声 麦默通微创旋切手术 激素 生存质量 炎症 Benign Breast Tumors Ultrasound Mammotome Minimally Invasive Surgical Resection Hormones Quality of Life Inflammation
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