| 摘要: |
| ［摘要］目的 研究超声引导下微创旋切术治疗乳腺良性病灶的安全性及有效性．方法 采用单中心、随机、对照、前瞻性研究方法，将84例乳腺良性患者随机分为观察组和对照组，每组患者42例，观察组患者采用超声引导下微创旋切术治疗，对照组采用传统手术治疗，对比2组术中、术后相关指标．结果 观察组术中出血量、切口长度、手术时间在乳腺良性单侧单发、单侧多发和双侧均明显小于对照组，差异有统计学意义（P＜0.01）；观察组术后愈合时间、疼痛评分、并发症在乳腺良性单侧单发、单侧多发和双侧均小于对照组，差异有统计学意义（P＜0.01）；并且术后满意度、美容优良率在乳腺良性单侧单发、单侧多发和双侧均优于对照组，差异有统计学意义（P＜0.01）；观察组治疗后未发生乳房变形，对照组发生3例，占7.14%．结论 超声引导下微创旋切术治疗乳腺良性病灶在单侧单发、单侧多发以及双侧安全性及有效性均明显优于传统治疗． |
| 关键词: ［关键词］超声引导 乳腺良性病灶 微创旋切术 临床效果 |
| DOI： |
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| 基金项目:［基金项目］安徽省临床重点专科建设基金资助项目（01T18） |
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| The Clinical Effect of Ultrasound Guided Minimally Invasive Rotary Cutting on Breast Benign Lesions |
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DONG Ming-chun1,2
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1.（1）Dept. of General Surgery，Maternal and Child Health Hospital of Miyi County，Panzhihua City，Sichuan Province，Panzhihua Sichuan 617200;2.２）Dept. of General Surgery，Suzhou First People’s Hospital of Anhui Province，Suzhou Anhui 234000，China）
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| Abstract: |
| ［Abstract］Objective To study the safety and effect of ultrasound guided minimally invasive rotary cutting for treatment of benign breast lesions. Methods A single-center， prospective， randomized， controlled study method was used， 84 patients with breast benign lesions were randomly divided into observation group and control group， 42 patients in each group. Patients in the observation group were treated with ultrasound guided minimally invasive rotary cutting， patients in control group were treated with traditional surgery. The intraoperative and postoperative related indicators were compared between two groups. Results The intraoperative blood loss， length of incision， operation time in breast benign unilateral single and unilateral and bilateral lesions in the observation group were significantly less than those in the control group， with statistically significant difference（P＜0.01）. The healing time， postoperative pain score， complications in breast benign unilateral single and unilateral and bilateral lesions in observation group were less than those in the control group， with statistically significant difference（P＜0.01）. And the postoperative satisfaction， and the excellent rate of beauty in breast benign unilateral single、unilateral and bilateral lesions were better than control group， with statistically significant difference（P＜0.01）. There was no breast deformation in observation group after treatment， and there were 3 patients of breast deformation in the control group has 3 patients， accounting for 7.14%. Conclusion Ultrasound guided minimally invasive rotary cutting is significantly superior to the traditional treatment in security and effectiveness for treatment of breast benign lesions in one single and unilateral multiple and bilateral lesions. |
| Key words: ［Key words］Ultrasound guided Breast benign lesions Rotary cutting Clinical effect |