【摘要】 目的探讨分析在触诊阴性乳腺肿块患者临床治疗中超声引导麦默通微创旋切术的应用效果。方法选取2019年1～12月江西省萍乡市妇幼保健院普外科收治的60例触诊阴性乳腺肿块患者作为研究对象,应用随机数字表法分为对照组与观察组,每组各30例。对照组采用常规开放性切除术进行治疗,观察组采用超声引导麦默通微创旋切术进行治疗,比较两组患者经不同治疗方式的手术时间、术中出血量、术后6个月复发及并发症发生情况、美观满意度等相关指标。结果观察组手术用时短于对照组,术中出血量少于对照组,切口愈合时间短于对照组,瘢痕长度短于对照组,差异均有统计学意义(P<0.05);观察组患者术后并发症总发生率低于对照组,差异有统计学意义(P<0.05);观察组患者乳房美观满意评分高于对照组,差异有统计学意义(P<0.05)。结论超声引导麦默通微创旋切术可进一步缩短触诊阴性乳腺肿块患者的手术时间,减少术后并发症发生情况,减小瘢痕面积,预后良好,患者对外观满意度高,值得临床推广应用。更多还原

【Abstract】 Objective To investigate and analyze the actual effect of ultrasound-guided Mammotome minimally invasive atherectomy in the clinical treatment of patients with palpable negative breast masses. Methods From January to December 2019, a total of 60 patients with palpable negative breast masses admitted to the General Surgery Department of Jiangxi Province Pingxiang Maternity and Child Care Hospital were selected as the research objects, and they were divided into the control group and the observation group by random number table method, with 30 cases in each group.The control group was treated with conventional open resection, and the observation group was treated with ultrasoundguided Mammotome minimally invasive atherectomy. The operation time, intraoperative blood loss, 6 months postoperative recurrence and complications, and aesthetic satisfaction of the two groups of patients under different treatment methods were compared. Results The operation time of the observation group was shorter than that of the control group,the intraoperative blood loss was less than that of the control group, the incision healing time was shorter than that of the control group, and the scar length was shorter than that of the control group, the differences were statistically significant(P<0.05); the total incidence of post-complications was lower than that of the control group, and the difference was statistically significant(P<0.05); the breast aesthetic satisfaction score of the observation group was higher than that of the control group, and the difference was statistically significant(P<0.05). Conclusion Ultrasound-guided Mammotome minimally invasive atherectomy can further shorten the operation time of patients with palpable negative breast masses,reduce postoperative complications, reduce the area of scars, and has a good prognosis. Patients are highly satisfied with the appearance and are worthy of clinical application.更多还原