论文部分内容阅读
目的:比较超声引导下麦默通旋切活检术与超声引导下导丝定位手术切除乳腺隐匿性肿块(NPBL)的效果,为临床手术方法的选择提供依据。方法:回顾性分析362例行手术治疗的NPBL患者临床资料,其中293例超声引导下麦默通旋切活检手术(旋切组),69例行超声引导下导丝定位开放活检术(开放组),比较两组的相关手术指标。结果:两组患者基本资料差异均无统计学意义(均P>0.05)。旋切组在手术时间、切口长度、术中出血量方面均优于开放组,手术费用明显多于开放组(均P<0.05),旋切组术后并发症发生率低于开放组,但差异无统计学意义(P>0.05)。两组手术成功率均达到100%。两组随访1~12个月,均无肿瘤复发,开放组有长短不等的瘢痕,而旋切组瘢痕微小或不可见。结论:麦默通旋切活检术切除NPBL安全有效,较导丝定位开放活检术出血少、手术时间短、美容效果好,但手术费用较高。
OBJECTIVE: To compare the effect of ultrasound-guided Maomettone biopsy and ultrasound-guided guide wire in the surgical mastectomy for mastectomy (NPBL), and to provide a basis for the selection of clinical surgical methods. Methods: The clinical data of 362 patients undergoing NPBL were retrospectively analyzed. Among them, 293 cases underwent ultrasound-guided mesotome biopsy (rotational cutting group) and 69 cases underwent guided biopsy guided open biopsy (open group ), Compared the two groups of related surgical indicators. Results: There was no significant difference in the basic data between the two groups (all P> 0.05). Open surgery group was better than open group in operation time, incision length and intraoperative blood loss, the operation cost was significantly more than that in open group (all P <0.05). The incidence of postoperative complications in rotational incision group was lower than that in open group The difference was not statistically significant (P> 0.05). The successful rate of both groups reached 100%. Two groups were followed up for 1 to 12 months, no tumor recurrence, open group have different lengths of scar, and peeling group scars tiny or invisible. Conclusion: Macmillan biopsy is safe and effective in resection of NPBL. Compared with open biopsy, guidewire has less bleeding, shorter operative time and better cosmetic results, but the operation cost is higher.