超聲引導下負壓吸引旋切術(shù)治療乳腺腫瘤的療效探析

代偉

[摘要] 目的 對超聲引導下負壓吸引旋切術(shù)治療乳腺腫瘤的治療效果進行分析和研究。 方法 方便選擇該院在2016年6月—2017年6月期間收治的60例乳腺腫瘤患者作為研究對象，按照患者的病歷單雙號將其劃分為對照組和觀察組，每組30例患者，采用傳統(tǒng)手術(shù)治療對照組患者，采用超聲引導下負壓吸引旋切術(shù)治療觀察組患者，對兩組患者的治療效果和安全性進行分析和比較。結(jié)果 在美容效果方面，對照組達到了76.7%的優(yōu)良率，觀察組達到了100.0%的優(yōu)良率。對照組的術(shù)中出血量為（20.39±3.75）mL，手術(shù)完成時間為（30.17±5.59）min，住院時間為（8.11±2.01）d，觀察組的術(shù)中出血量為（5.07±1.82）mL，手術(shù)完成時間為（20.06±3.44）min，住院時間為（4.97±1.62）d。在美容效果、術(shù)中出血量、手術(shù)完成時間和出院時間方面兩組患者相比差異有統(tǒng)計學意義（χ2=21.097，t=79.856 ，27.881，31.953，P<0.05）。在并發(fā)癥、復發(fā)率方面兩組相比差異無統(tǒng)計學意義（P>0.05）。 結(jié)論 超聲引導下負壓吸引旋切術(shù)治療乳腺腫瘤具有很好的治療效果，而且安全性高，值得在臨床上予以進一步應用和推廣。

[關(guān)鍵詞] 超聲引導;負壓吸引旋切術(shù);傳統(tǒng)手術(shù);乳腺腫瘤;療效;安全性

[中圖分類號] R4? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1674-0742（2019）06（a）-0026-03

[Abstract] Objective To analyze and study the therapeutic effect of ultrasound-guided vacuum aspiration in the treatment of breast tumors. Methods Sixty breast cancer patients admitted to our hospital from June 2016 to June 2017 were convenient selected as subjects. According to the patient's medical records， they were divided into control group and observation group. Each group had 30 patients. The patients in the control group were treated with conventional surgery， and the patients in the observation group were treated with ultrasound-guided vacuum aspiration. The therapeutic effects and safety of the two groups were analyzed and compared. Results In terms of cosmetic effects， the control group achieved an excellent rate of 76.7%， and the observation group achieved an excellent rate of 100.0%. The intraoperative blood loss of the control group was （20.39±3.75） mL， the operation completion time was （30.17±5.59） min， the hospitalization time was （8.11±2.01） d， and the intraoperative blood loss of the observation group was （5.07±1.82） mL. The operation completion time was （20.06±3.44） min， and the hospitalization time was （4.97±1.62） d. There were significant differences between the two groups in terms of cosmetic effect， intraoperative blood loss， surgical completion time， and discharge time （χ2=21.097， t=79.856， 27.881， 31.953， P<0.05）. Conclusion Ultrasound-guided vacuum aspiration has a good therapeutic effect in the treatment of breast tumors， and it is safe and worthy of further application and promotion in clinical practice.

[Key words] Ultrasound guidance; Vacuum suction resection; Traditional surgery; Breast tumor; Efficacy; Safety

在臨床上乳腺腫瘤屬于一種常見病，采用傳統(tǒng)的乳腺腫瘤切除術(shù)治療創(chuàng)傷很大，而且患者乳房在手術(shù)之后也會出現(xiàn)結(jié)構(gòu)改變，極大影響了患者的身體健康和生活質(zhì)量，尤其是乳腺良性腫瘤患者很難接受手術(shù)之后造成的瘢痕[1]。在醫(yī)療技術(shù)不斷發(fā)展的今天，微創(chuàng)手術(shù)在臨床上得到了廣泛地應用，在乳腺腫瘤的臨床治療中開始較多的使用了超聲引導下負壓吸引旋切術(shù)，該手術(shù)方式除了可以將乳腺腫瘤完全切除之外，還能夠充分滿足乳腺腫瘤患者的美觀要求[2-3]。為了對超聲引導下負壓吸引旋切術(shù)治療乳腺腫瘤的治療效果進行分析和研究，該文方便選擇該院在2016年6月—2017年6月期間收治的60例乳腺腫瘤患者作為研究對象，回顧性分析其臨床資料，現(xiàn)進行如下匯報。