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目的观察超声引导下乳腺良性病灶微创旋切治疗的临床效果。方法 74例乳腺良性肿瘤患者,按照随机数字表法分为观察组和对照组,各37例。观察组采用超声引导下微创旋切法切除乳腺良性病灶,对照组采用常规乳腺肿物切除术切除乳腺良性病灶。比较两组患者病理类型、手术时间、切口长度、切口愈合时间、愈合瘢痕长度。结果观察组85个病灶病理检查为纤维腺瘤55个,乳腺腺病13个,乳房囊肿12个,导管内乳腺状瘤5个。对照组81个病灶病理检查为纤维腺瘤52个,乳腺腺病15个,乳房囊肿10个,导管内乳腺状瘤4个;两组患者病理检查结果比较差异无统计学意义(P>0.05)。观察组手术时间为(23.1±6.1)min,切口长度为(3.7±0.9)mm,切口愈合时间为(3.6±0.8)d,愈合瘢痕长度为(2.5±0.7)mm;对照组手术时间为(30.6±8.2)min,切口长度为(27.3±8.4)mm,切口愈合时间为(6.7±2.1)d,愈合瘢痕长度为(20.3±6.6)mm;观察组手术时间、切口愈合时间、切口长度及愈合瘢痕长度均短于对照组,差异有统计学意义(P<0.05)。结论超声引导下乳腺良性病灶微创旋切法切除乳腺良性病灶,治疗后切口小而隐蔽,手术创伤少,符合现代乳腺良性病灶切除的微创需求。
Objective To observe the clinical effect of ultrasound-guided minimally invasive polypectomy on breast benign lesions. Methods Totally 74 patients with breast benign tumor were divided into observation group and control group according to random number table method, 37 cases in each group. In the observation group, benign lesion of the breast was excised by minimally invasive rotation guided by ultrasound and the benign lesion of the breast was excised by conventional mastectomy. Pathological types, operation time, incision length, incision healing time and healing scar length were compared between the two groups. Results The observation group of 85 lesions pathological examination of fibroadenoma 55, 13 breast adenosis, 12 breast cysts, 5 intraductal breast tumors. There were 52 fibroadenomas, 15 breast adenomas, 10 breast cysts and 4 intraductal breast tumors in the control group. There was no significant difference in pathological results between the two groups (P> 0.05) . The operative time in the observation group was (23.1 ± 6.1) min, the incision length was (3.7 ± 0.9) mm, the incision healing time was (3.6 ± 0.8) days and the healing scar length was (2.5 ± 0.7) mm. The operation time in the control group was ( 30.6 ± 8.2) min, the incision length was (27.3 ± 8.4) mm, the incision healing time was 6.7 ± 2.1 days and the healing scar length was (20.3 ± 6.6) mm. The operation time, incision healing time, The healing scar length were shorter than the control group, the difference was statistically significant (P <0.05). Conclusion Ultrasound-guided benign lesion of the breast minimally invasive rotation excision of benign breast lesions, small and hidden incision after treatment, less surgical trauma, in line with the modern minimally invasive breast benign lesion needs.