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目的探讨超声引导下麦默通旋切系统在乳腺纤维腺瘤治疗中的应用价值。方法选取2015年1月-2016年6月商洛市中心医院收治的乳腺纤维腺瘤患者86例为研究对象。所有患者均经影像学和病理学检查确诊为乳腺纤维腺瘤,根据患者手术治疗方案将其分为观察组和对照组,对照组41例患者接受传统开放式乳腺纤维腺瘤切除术,观察组45例患者在超声引导下应用麦默通旋切系统进行手术切除。比较两组患者治疗效果、手术相关指标、术后并发症及不良反应的差异。结果两组患者纤维腺瘤均完全切除,且两组患者手术用时比较,差异无统计学意义(P>0.05),但观察组患者术中出血量、术后住院时间和术后并发症发生率明显低于对照组,随访乳房外观满意度高于对照组,差异均有统计学意义(P<0.05)。结论采用超声引导麦默通旋切系统治疗乳腺纤维腺瘤具有切除准确、医源性创伤低的优势,患者术后康复速度较快,并发症、不良反应发生率较低。
Objective To investigate the value of ultrasound-guided mesomestaxy in the treatment of breast fibroadenoma. Methods A total of 86 patients with breast fibroadenoma who were treated in Central Hospital of Shangluo from January 2015 to June 2016 were selected as the research object. All patients were diagnosed as breast fibroadenoma by imaging and pathological examination, which were divided into observation group and control group according to patients’ surgical treatment plan. In the control group, 41 patients underwent traditional open breast fibroadenoma resection and observation group Forty-five patients underwent surgical resection using a Merton’s rotary system under ultrasound guidance. The difference between the two groups in the treatment effect, operation-related indicators, postoperative complications and adverse reactions was compared. Results The patients with fibroadenoma were completely resected in both groups, and there was no significant difference in operative time between the two groups (P> 0.05). However, the intraoperative blood loss, postoperative hospital stay and postoperative complication rate Significantly lower than the control group, follow-up breast satisfaction higher than the control group, the difference was statistically significant (P <0.05). Conclusion Ultrasound-guided mesomethrine rotation system for the treatment of breast fibroadenoma has the advantages of accurate resection and low iatrogenic trauma. The postoperative recovery rate is faster and the incidence of complications and adverse reactions is lower.