超聲引導(dǎo)下負(fù)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(duì)超聲引導(dǎo)下負(fù)壓吸引旋切術(shù)治療乳腺腫瘤的治療效果進(jìn)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(duì)象，按照患者的病歷單雙號(hào)將其劃分為對(duì)照組和觀察組，每組30例患者，采用傳統(tǒng)手術(shù)治療對(duì)照組患者，采用超聲引導(dǎo)下負(fù)壓吸引旋切術(shù)治療觀察組患者，對(duì)兩組患者的治療效果和安全性進(jìn)行分析和比較。結(jié)果 在美容效果方面，對(duì)照組達(dá)到了76.7%的優(yōu)良率，觀察組達(dá)到了100.0%的優(yōu)良率。對(duì)照組的術(shù)中出血量為（20.39±3.75）mL，手術(shù)完成時(shí)間為（30.17±5.59）min，住院時(shí)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(shí)間為（20.06±3.44）min，住院時(shí)間為（4.97±1.62）d。在美容效果、術(shù)中出血量、手術(shù)完成時(shí)間和出院時(shí)間方面兩組患者相比差異有統(tǒng)計(jì)學(xué)意義（χ2=21.097，t=79.856 ，27.881，31.953，P<0.05）。在并發(fā)癥、復(fù)發(fā)率方面兩組相比差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05）。 結(jié)論 超聲引導(dǎo)下負(fù)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(jìn)一步應(yīng)用和推廣。

[關(guān)鍵詞] 超聲引導(dǎo);負(fù)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(lèi)號(hào)] R4? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] A? ? ? ? ? [文章編號(hào)] 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(jiàn)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(huì)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(yīng)用，在乳腺腫瘤的臨床治療中開(kāi)始較多的使用了超聲引導(dǎo)下負(fù)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(mǎn)足乳腺腫瘤患者的美觀要求[2-3]。為了對(duì)超聲引導(dǎo)下負(fù)壓吸引旋切術(shù)治療乳腺腫瘤的治療效果進(jìn)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(duì)象，回顧性分析其臨床資料，現(xiàn)進(jìn)行如下匯報(bào)。