摘要
目的探讨超声引导下乳腺微创旋切术治疗良性乳腺肿块的临床效果。方法62例良性乳腺肿块患者,依照随机数字表法分为对照组和观察组,各31例。对照组患者采用传统开放手术治疗,观察组患者采用超声引导下乳腺微创旋切术治疗。比较两组手术指标、术后并发症发生情况、视觉模拟评分法(VAS)评分、感觉神经功能恢复时间、乳房外观评分。结果观察组切口长度(4.18±1.20)mm、切口愈合时间(3.52±1.16)d、手术时间(17.52±4.20)min均短于对照组的(27.56±3.24)mm、(6.65±1.52)d、(30.15±6.28)min,术中出血量(14.26±1.75)ml少于对照组的(21.56±3.20)ml,差异有统计学意义(P<0.05)。观察组术后并发症发生率3.23%明显低于对照组的19.35%,差异有统计学意义(P<0.05)。观察组术后6、12、24 h VAS评分分别为(4.63±1.20)、(3.52±0.85)、(2.18±0.66)分,均低于对照组的(5.96±1.23)、(5.23±0.98)、(3.78±0.88)分,差异有统计学意义(P<0.05)。观察组触觉恢复时间(146.28±15.20)min和痛觉恢复时间(194.23±15.74)min均短于对照组的(156.28±16.80)、(203.33±16.55)min,差异有统计学意义(P<0.05)。观察组乳头乳晕、切口瘢痕、色素沉着、乳房形状评分分别为(91.23±3.25)、(92.20±3.15)、(91.47±3.58)、(91.66±3.45)分,均高于对照组的(84.26±3.55)、(85.39±3.47)、(84.20±3.45)、(85.46±3.49)分,差异有统计学意义(P<0.05)。结论对良性乳腺肿块患者采取超声引导下乳腺微创旋切术治疗的疗效显著,且安全性高,术后疼痛感较轻微,创伤小,值得采纳。
Objective To discuss the clinical effect of ultrasound-guided minimally invasive breast surgery on benign breast mass.Methods A total of 62 patients with benign breast mass were divided into a control group and an observation group according to random numerical table,with 31 cases in each group.The control group was treated with conventional open surgery,and the observation group was treated with ultrasoundguided minimally invasive breast surgery.Both groups were compared in terms of surgical indexes,postoperative complications,visual analogue scale(VAS)score,sensory nerve function recovery time and breast appearance score.Results The observation group had incision length of(4.18±1.20)mm,incision healing time of(3.52±1.16)d and operative time of(17.52±4.20)min,which were shorter than those of(27.56±3.24)mm,(6.65±1.52)d and(30.15±6.28)min in the control group;the intraoperative blood loss of(14.26±1.75)ml in the observation group was less than that of(21.56±3.20)ml in the control group;the differences were statistically significant(P<0.05).The incidence of postoperative complications of 3.23%in the observation group was significantly lower than that of 19.35%in the control group,and the difference was statistically significant(P<0.05).At 6,12 and 24 h after surgery,VAS scores of the observation group were(4.63±1.20),(3.52±0.85)and(2.18±0.66)points,which were lower than those of(5.96±1.23),(5.23±0.98)and(3.78±0.88)points in the control group,and the differences were statistically significant(P<0.05).The tactile sensation recovery time of(146.28±15.20)min and pain recovery time of(194.23±15.74)min in the observation group were shorter than those of(156.28±16.80)and(203.33±16.55)min in the control group,and the differences were statistically significant(P<0.05).The scores of nipple areola,incision scar,pigmentation and breast shape in the observation group were(91.23±3.25),(92.20±3.15),(91.47±3.58)and(91.66±3.45)points,which were higher than those of(84.26±3.55),(85.39±3.47),(84.20±3.45)and(8
作者
蔡芸
李文平
王金香
陈瑞芳
CAI Yun;LI Wen-ping;WANG Jin-xiang(Department of Ultrasound,Dayu County People's Hospital,Ganzhou 341500,China)
出处
《中国现代药物应用》
2023年第23期50-53,共4页
Chinese Journal of Modern Drug Application
基金
赣州市指导性科技计划项目(项目编号:20222ZDX8705)。
关键词
良性乳腺肿块
超声引导下乳腺微创旋切术
传统开放手术
乳房外观
Benign breast mass
Ultrasound-guided minimally invasive breast surgery
Conventional open surgery
Breast appearance
