超声引导下麦默通微创旋切术治疗乳腺良性肿瘤的临床效果

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摘要目的探讨超声引导下麦默通微创旋切术治疗乳腺良性肿瘤的临床效果。方法选取2018年1～12月我院收治的80 例女性乳腺良性肿瘤患者作为研究对象，按照手术方法的不同分为观察组（40 例）和对照组（40 例）。对照组采用常规乳腺肿瘤切除手术，观察组采用超声引导下麦默通旋切术。比较两组手术前后的焦虑自评量表（SAS）和抑郁自评量表（SDS）评分、手术指标、视觉模拟量表（VAS）评分、并发症总发生率、伤口愈合时间及肩关节功能恢复时间。结果观察组术后的SAS、SDS 评分低于对照组，差异均有统计学意义（P＜0.05）。观察组的手术时间短于对照组，术中出血量少于对照组，手术瘢痕长度短于对照组，VAS 评分低于对照组，差异均有统计学意义（P＜0.05）。观察组的并发症总发生率低于对照组，差异有统计学意义（P＜0.05）。观察组的伤口愈合时间、肩关节上举和提重物恢复时间短于对照组，差异均有统计学意义（P＜0.05）。结论对乳腺良性肿瘤患者进行超声引导下麦默通微创旋切术治疗，可有效改善患者的焦虑和抑郁心理，缩短手术时间、伤口愈合时间、肩关节上举和提重物恢复时间及手术瘢痕长度，减少出血量，缓解患者的疼痛程度，降低并发症发生率，值得临床推广应用。

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关键词 ：超声, 麦默通微创旋切术, 乳腺肿瘤, 临床效果, 应用价值

Abstract：Objective To explore the clinical effect of ultrasound-guided Maimotong minimally invasive resection in the treatment of benign breast tumors. Methods Eighty female benign breast tumor patients treated in our hospital from January to December 2018 were selected as the research subjects,they were divided into observation group(40 cases) and control group (40 cases) according to the different surgical methods. The control group underwent conventional breast tumor resection, and the observation group underwent ultrasound-guided Maimerton resection. The anxiety selfassessment scale (SAS) and depression self-assessment scale (SDS) scores before and after surgery, surgical indicators,visual analogue scale (VAS) scores, total incidence of complications, wound healing time, and shoulder function were compared between the two groups. Results The SAS and SDS scores in the observation group were lower than those in the control group, the differences were statistically significant (P＜0.05). The operation time in the observation group was shorter than that in the control group, the intraoperative blood loss was less than that in the control group, the length of the surgical scar was shorter than that in the control group, the VAS score was lower than the control group, the differences were statistically significant (P＜0.05). The total incidence of complications in the observation group was lower than that in the control group, the difference was statistically significant (P＜0.05). The wound healing time, shoulder joint lifting and weight lifting recovery time in the observation group were shorter than those in the control group, the differences were statistically significant (P＜0.05). Conclusion Ultrasound-guided Maimerton minimally invasive surgery for patients with benign breast tumors can effectively improve the patients′ anxiety and depression, shorten the operation time, wound healing time, shoulder joint lifting and lifting weight recovery time, and surgical scar length, reduce the amount of bleeding, relieve the pain of patients, reduce the incidence of complications, it is worth clinical promotion and application.

Key words： Ultrasonic Maimotong minimally invasive resection Breast tumor Clinical effect Application value

引用本文:

徐淑仪; 何建明. 超声引导下麦默通微创旋切术治疗乳腺良性肿瘤的临床效果[J]. 中国当代医药, 2020, 27(7): 109-112.
XU Shu-yi; HE Jian-ming. Clinical effect of ultrasound-guided Maimotong minimally invasive resection in the treatment of benign breast tumors. 中国当代医药, 2020, 27(7): 109-112.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2020/V27/I7/109

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