超声引导下腺微创旋切术与开放手术在治疗乳腺良性肿块的对比研究.docVIP

超声引导下乳腺微创旋切术与开放手术在治疗乳腺良性肿块的对比研究 何杰 张超杰 范培芝 目的 探讨方法 回顾性分析年来在局下分别采用（例）和传统（例），比较两种术式的手术时间、术中出血量、、患者满意度及。结果 在手术时间、术中出血量、（P均0.05），而在术后（P均0.05），。结论 关键词传统手术研究 中图分类号： 　文献标识码：　文章编号Abstract:Objective: A comparative study of the efficacy of two types of benign breast mass surgery, the B ultrasonic-guided minimally invasive biopsy and the traditional open surgery. Methods: A retrospective analysis of benign breast mass surgery under local anesthesia was performed in 250 surgical patients for three years including the B ultrasonic-guided minimally invasive biopsy (135 cases) and the traditional open surgery (115 cases). The operative time, blood loss, incision length, patient satisfaction and postoperative complications were compared between the two methods. Results: we found that the minimally invasive biopsy surgery significantly outperformed (p0.05) the traditional method in terms of operation time, blood loss, length of incision and patient satisfaction. Importantly, the minimally invasive biopsy showed a comparable level of postoperative complications with the traditional method (p0.05), no cases of infection and postoperative hematoma were detected. All patients were followed up for 3 to 12 months and no residual tumor and recurrence of breast tumor were found. Conclusion: the B ultrasonic-guided minimally invasive biopsy exhibits many advantages over the traditional open surgery method including the accuracy of positioning, short time, less bleeding, rapid postoperative recovery, fewer complications and fineness in cut. We recommend minimally invasive biopsy as first choice for young women, especially those with multiple breast lumps. Key words:Breast lump；Mammotome；Minimally invasive；Open surgery；Contrastive study 乳腺疾病是当代社会困扰女性同胞的常见疾病，并且有逐年递增的趋势，它严重的影响到了女性同胞的身心健康，给她们造成了极大的生理及心理压力，恶性肿块甚至会危机生命。所以一旦发现乳腺肿块应及时行对症处理。对于手术方式的选择亦极为重要。传统开放手术疗效好，但创伤过大，术后恢复过长，且影响美观[1]。而微创手术有效的解决了上述问题[2]。目前已广泛应用于外科治疗当中。我院对乳腺良性肿块微创手术及传统开放手术做了对比研究。现报告如下： 1 1.1 一般资料 随访时间从3月～24月不等，中位随访时间8月。1.2 手术步