论文部分内容阅读
目的探讨超声引导下麦默通旋切术与传统开放切除术治疗较大乳腺良性肿瘤的近期疗效及安全性。方法选取2015年1月至2016年2月间四川省成都市妇女儿童中心医院收治的98例较大乳腺良性肿瘤患者的临床资料进行回顾性分析,采用不同治疗方式将患者分为观察组与对照组,每组49例。观察组患者行超声引导下麦默通旋切术治疗,对照组患者行传统开放切除术治疗。比较不同治疗方式对两组患者的临床疗效及安全性影响。结果观察组患者手术切口长度为(0.55±0.07)cm,明显短于对照组患者的(3.78±0.51)cm,差异有统计学意义(P<0.05)。两组患者的术中出血量、手术时间、并发症发生情况比较,差异无统计学意义(P>0.05)。随访1年,两组患者并发症情况均恢复较好,且观察组患者术后普遍无明显疤痕。结论超声引导下麦默通旋切术对较大乳腺良性肿瘤具有较好的临床疗效,且安全性高,术后疤痕小,值得临床推广。
Objective To investigate the short-term efficacy and safety of ultrasound-guided mesomectomy and traditional open excision in the treatment of large benign breast tumors. Methods The clinical data from January 2015 to February 2016 in Chengdu, Sichuan Children’s Central Hospital women were treated 98 cases of benign breast tumor patients with a large retrospective analysis, using different treatment patients were divided into observation group and control Group, 49 cases in each group. Patients in the observation group underwent ultrasound-guided mesomectomy and patients in the control group underwent traditional open excision. Compare the effect of different treatment on the clinical efficacy and safety of two groups of patients. Results incision length of observation group (0.55 ± 0.07) cm, significantly shorter than patients in the control group (3.78 ± 0.51) cm, was statistically significant (P <0.05) difference. The two groups of patients with intraoperative blood loss, operative time, complication, the difference was not statistically significant (P> 0.05). Followed up for 1 year, the complications of both groups recovered well, and there was no obvious scar in the observation group after operation. Conclusion Ultrasound-guided mesomectomy has good clinical efficacy in the treatment of benign tumors of large breast, and has high safety and small postoperative scar, which is worthy of clinical promotion.