【摘要】 目的：探讨乳腺病灶旋切式活检系统的临床应用及其效果。方法：选取2022年2月—2024年4月邵武市立医院收治的104例乳腺疾病患者作为研究对象，通过随机数生成器均分为观察组(n=52)和对照组(n=52)。对照组采取传统手术治疗，观察组采取超声引导下乳腺病灶旋切式活检系统治疗。比较两组围手术期指标[手术时间、术中出血量、术后下地活动时间、住院时间]、瘢痕评估量表(OSAS)、应激指标[去甲肾上腺素(NE)、肾上腺素(E)和肾素(R)]、并发症总发生率。结果：与对照组比较，观察组手术时间更短、术中出血量更少、切口愈合时间、住院时间更短，差异有统计学意义(P<0.05)。与对照组比较，观察组瘢痕弹性程度、瘢痕平整度、瘢痕颜色评分更低，差异有统计学意义(P<0.05)。与术前比较，两组术后NE、E、R水平增高且观察组低于对照组，差异有统计学意义(P<0.05)。与对照组比较，观察组并发症总发生率更低，差异有统计学意义(P<0.05)。结论：旋切式乳腺病灶活检系统能够改善围手术期中指标，提升乳腺的外观质量，减少手术的应激反应，安全性较高，因此在临床实践中应当予以重视。更多还原

【Abstract】 Objective:To explore the clinical application and effect of rotary biopsy system for breast lesions.Method:104 patients with breast diseases admitted to Shaowu Municipal Hospital from February 2022 to April 2024 were selected as the study objects.They were divided into two groups:observation group (n=52) and control group (n=52) by random number generator.The control group was treated with traditional surgery,while the observation group was treated with ultrasound-guided rotary biopsy system.Perioperative indicators[operation time,intraoperative blood loss,postoperative ambulation time,hospitalization time],observer scar assessment scale (OSAS),stress indicators[norepinephrine (NE),epinephrine (E) and renin (R)],and the total incidence of complications were compared between the two groups.Result:Compared with the control group,the operation time was shorter,intraoperative blood loss was less,incision healing time and hospital stay in the observation group was shorter,and the differences were statistically significant (P<0.05).Compared with the control group,the scar elasticity,scar flatness and scar color score in the observation group were lower,with statistical significance (P<0.05).Compared with the preoperative level,the levels of NE,E and R in the two groups were increased after surgery,and the observation group was lower than the control group,with statistical significance (P<0.05).Compared with the control group,the total incidence of complications in the observation group was significantly decreased,and the difference was statistically significant (P<0.05).Conclusion:The rotary breast lesion biopsy system can improve indexes in perioperative period,improve the appearance quality of breast and reduce the stress reaction of operation,which has high safety,so it should be paid attention to in clinical practice.更多还原