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目的比较乳腺多发良性肿瘤的B超引导下真空辅助旋切术与传统手术临床疗效。方法选取于2012年2月-2013年9月间在我院行手术治疗的乳腺多发性良性肿瘤患者(单侧或双侧肿块,2个≤肿块数目≤10个)200例,其中行真空辅助旋切术治疗的患者100例,传统手术治疗的患者100例,从住院时间、手术时间、术后乳腺外形满意度、术后切口并发症(出血血肿)、切口愈合时间、术后3个月局部有无复发再发6个方面进行优劣势比较。结果真空辅助旋切术组患者的住院平均时间为2.5d、手术平均时间为40min、术后乳腺外形满意度99%、术后血肿1例、切口愈合平均时间3d、术后3个月复查局部无复发再发。传统手术治疗组患者的住院平均时间为6d、手术平均时间为60min、术后乳房外形满意度85%、术后并发症(积液裂开感染)7%、切口愈合平均时间7d、术后3个月复查局部无复发再发。结论对于乳腺多发良性肿瘤患者,B超引导下行真空辅助旋切术的治疗是安全可行的,且优于传统手术。
Objective To compare the clinical efficacy of vacuum assisted biopsy and traditional surgery under ultrasound-guided breast multiple benign tumors. Methods A total of 200 patients with multiple benign breast tumors (unilateral or bilateral masses, ≤ ≤ 10 masses ≤10) undergoing surgical treatment in our hospital from February 2012 to September 2013 were selected. Among them, 200 100 cases of patients undergoing revolving surgery and 100 cases of traditional surgical treatment were selected from hospitalization time, operation time, postoperative breast shape satisfaction, postoperative complications of incision (hemorrhage and hematoma), incision healing time, 3 months after operation Recurrence of recurrence of six areas for comparison of strengths and weaknesses. Results The average duration of hospitalization was 2.5 days in the patients undergoing vacuum assisted radical resection. The mean duration of surgery was 40 minutes. Satisfactory breast shape was 99%. Postoperative hematoma was observed in 1 case. The average time of incision healing was 3d. No recurrence and recurrence. The average length of hospital stay was 6 days, the average operation time was 60 minutes, the satisfaction of postoperative breast shape was 85%, the postoperative complications (fluid splitting infection) were 7%, the average time of incision healing was 7 days, and the postoperative 3 Month to review the local recurrence without recurrence. Conclusion For patients with benign breast tumors, B-guided vacuum assisted biopsy is safe and feasible, and is superior to traditional surgery.