[1]黄 萍,许金龙,李 燕.超声引导下乳腺肿块微创旋切术的临床有效性及对患者生活质量的影响[J].医学信息,2024,37(22):42-45.[doi:10.3969/j.issn.1006-1959.2024.22.010]
 HUANG Ping,XU Jinlong,LI Yan.Clinical Efficacy of Ultrasound-guided Minimally Invasive Rotary Resection of Breast Masses and its Effect on the Quality of Life[J].Journal of Medical Information,2024,37(22):42-45.[doi:10.3969/j.issn.1006-1959.2024.22.010]
点击复制

超声引导下乳腺肿块微创旋切术的临床有效性及对患者生活质量的影响()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年22期
页码:
42-45
栏目:
论著
出版日期:
2024-11-15

文章信息/Info

Title:
Clinical Efficacy of Ultrasound-guided Minimally Invasive Rotary Resection of Breast Masses and its Effect on the Quality of Life
文章编号:
1006-1959(2024)22-0042-04
作者:
黄 萍许金龙李 燕
赣县区妇幼保健院乳腺科,江西 赣州 341100
Author(s):
HUANG PingXU JinlongLI Yan
Breast Department of Ganxian District Maternity and Child Care Hospital,Ganzhou 341100,Jiangxi,China
关键词:
超声引导乳腺肿块微创旋切术生活质量并发症
Keywords:
Ultrasound-guidedMinimally invasive rotary resection of breast massesQuality of lifeComplications
分类号:
R736.3
DOI:
10.3969/j.issn.1006-1959.2024.22.010
摘要:
目的 研究超声引导下乳腺肿块微创旋切术临床有效性及对患者生活质量的影响。方法 选取2022年6月-2023年10月在我院诊治的66例乳腺良性肿块患者为研究对象,采用随机数字表法分为对照组和研究组,各组33例。对照组采用传统乳腺肿块切除术,研究组采用超声引导下乳腺肿块微创旋切术。比较两组手术指标(手术时间、术中出血量、切口长度、住院时间)、治疗满意度、并发症发生率及生活质量评分。结果 研究组手术时间、术中出血量、切口长度、住院时间均小于对照组(P<0.05);研究组治疗满意度(96.97%)高于对照组(84.85%)(P<0.05);研究组并发症发生率(9.09%)低于对照组(21.21%)(P<0.05);两组术后生活质量评分均高于术前,且研究组高于对照组(P<0.05)。结论 乳腺肿块在超声引导下开展微创旋切术治疗效果确切,可减轻患者创伤,为术后康复提供有利条件,预防并发症的同时,提高患者生活质量和满意度,值得临床加以应用。
Abstract:
Objective To study the clinical efficacy of ultrasound-guided minimally invasive surgery for breast masses and its effect on the quality of life.Methods A total of 66 patients with benign breast masses diagnosed and treated in our hospital from June 2022 to October 2023 were selected as the research objects. They were divided into control group and study group by random number table method, with 33 patients in each group. The control group was treated with traditional breast tumor resection, and the study group was treated with ultrasound-guided minimally invasive breast tumor resection. The operation indexes (operation time, intraoperative blood loss, incision length, hospitalization time), treatment satisfaction, complication rate and quality of life score were compared between the two groups.Results The operation time, intraoperative blood loss, incision length and hospitalization time of the study group were less than those of the control group (P<0.05). The treatment satisfaction of the study group (96.97%) was higher than that of the control group (84.85%) (P<0.05). The incidence of complications in the study group (9.09%) was lower than that in the control group (21.21%) (P<0.05). The postoperative quality of life score of the two groups was higher than that before operation, and that of the study group was higher than that of the control group (P<0.05).Conclusion Ultrasound-guided minimally invasive surgery for breast masses is effective, which can reduce the trauma of patients, provide favorable conditions for postoperative rehabilitation, prevent complications, and improve the quality of life and satisfaction of patients. It is worthy of clinical application.

参考文献/References:

[1]赵敏,何冰玲,覃舒婷,等.超声引导下残腔注水试验在乳腺较大良性肿块麦默通旋切术中的应用[J].广西医学,2019,41(18):2379-2381.[2]范志民,王建东,华彬,等.超声引导下真空辅助乳腺活检手术专家共识及操作指南(2017版)[J].中国实用外科杂志,2017,37(12):1374-1376.[3]王兴武,夏菊华,杨武森,等.超声引导下乳腺微创旋切术与开放手术在治疗乳腺良性肿块中的对比[J].吉林医学,2016,37(11):2647-2649.[4]夏恒,邱海江,阮郑.麦默通微创旋切术对比传统开放术式治疗乳腺良性肿瘤的疗效分析[J].全科医学临床与教育,2017,15(2):165-169.[5]李一鹏,邱炎平,林文.安珂微创旋切术与常规手术治疗乳腺肿块的疗效比较[J].微创医学,2017,12(1):99-100.[6]田启龙.环乳晕切口手术对乳腺良性肿瘤患者术后美观效果及并发症的影响[J].河南医学研究,2019,28(7):75-77.[7]李喜璐,单学梅,李秀梅,等.超声引导下微创旋切术在女性良性乳腺肿块治疗中的应用价值分析[J].中国农村卫生,2019,11(8):6-7.[8]魏学黎,吴建军,张学森,等.乳晕旁切口对乳腺多发良性肿块的美容手术效果研究[J].中国基层医药,2019,26(4):466-468.[9]姬明镝.超声引导下安珂微创旋切术与乳晕环切口手术治疗乳腺良性肿瘤效果比较[J].河南外科学杂志,2018,24(1):90-91.[10]Papathemelis T,Heim S,Lux M,et al.Minimally Invasive Breast Fibroadenoma Excision Using an Ultrasound-Guided Vacuum-As sisted Biopsy Device[J].Geburtshilfe und Frauenheilkunde,2017,77(2):176-181.[11]张辉,王遵义.环乳晕切口、放射状切口在乳腺癌患者保乳术中的应用效果[J].医学美学美容,2023,32(2):87-90.[12]梁玲玲,李瑞华,李海波,等.超声引导下麦默通微创旋切术治疗乳腺良性肿块244 例临床观察[J].中医临床研究,2018,10(1):113-114.[13]龙丽莲,雷蕾,向文娟,等.超声引导下麦默通旋切术与传统开放切除术治疗较大乳腺良性肿瘤的近期疗效及安全性比较[J].中国肿瘤临床与康复,2017,24(6):644-646.[14]钱宇峰,童东明,昌莉莉.乳腺微创旋切术与传统开放术治疗乳腺良性肿块术中情况、术后疼痛、瘢痕及并发症的对比分析[J].中国妇幼保健,2018,33(5):1170-1172.[15]张好云,彭丽华,王红鲜,等.EnCor真空辅助旋切系统在不可触及乳腺肿物切除活检中的应用[J].海南医学,2019,24(20):3066-3067.[16]Chen M,Cai H,Chen S,et al.Comparative analysis of transcervical resection and loop electrosurgical excision in the treatment of high grade cervical intraepithelial neoplasia[J].International Journal of Gynecology&Obstetrics,2018,12(20):143-145.[17]罗玉群.超声引导下麦默通微创旋切手术治疗乳腺良性肿块46例分析[J].陕西医学杂志,2016,45(5):576-578.[18]李静,周恩相,莫濡冰.乳腺肿块患者麦默通微创旋切术的应用及对患者微血管密度与血管内皮因子的影响[J].解放军预防医学杂志,2019,37(5):75-76.[19]谢芳,倪进斌,顾向军,等.彩超引导下EnCor微创旋切系统在临床触诊阴性乳腺病灶诊治中的应用[J].安徽医药,2017,21(8):1469-1472.[20]薛文雄,董志毅,王宏.麦默通乳腺微创旋切术与传统手术治疗乳腺良性肿块临床效果的对比观察[J].临床和实验医学杂志,2017,23(4):86-87.

相似文献/References:

[1]张明东,王士雷.超声引导前路坐骨、股神经阻滞在腰椎疾病下肢手术的应用研究[J].医学信息,2018,31(02):101.[doi:10.3969/j.issn.1006-1959.2018.02.035]
 ZHANG Ming-dong,WANG Shi-lei.Application of Ultrasound-guided Anterior Sciatic Nerve Block and Femoral Nerve Block in Lower Limb Operation of Lumbar Spine Disease[J].Journal of Medical Information,2018,31(22):101.[doi:10.3969/j.issn.1006-1959.2018.02.035]
[2]袁长翮.超声引导下经直肠前列腺穿刺诊断前列腺癌的价值研究[J].医学信息,2018,31(04):156.[doi:10.3969/j.issn.1006-1959.2018.04.058]
 YUAN Chang-he.The Value of Ultrasound Guided Transrectal Prostate Puncture in the Diagnosis of Prostate Cancer[J].Journal of Medical Information,2018,31(22):156.[doi:10.3969/j.issn.1006-1959.2018.04.058]
[3]饶 瑾,宗志军,高之心,等.超声引导双侧胸椎旁神经阻滞用于开放性 胃癌根治术患者的镇痛效果观察[J].医学信息,2018,31(11):80.[doi:10.3969/j.issn.1006-1959.2018.11.025]
 RAO Jin,ZONG Zhi-jun,GAO Zhi-xin,et al.Observation on Analgesic Effect of Bilateral Thoracic Paravertebral Nerve Block Guided by Ultrasound in Patients Undergoing Open Radical Gastrectomy for Gastric Cancer[J].Journal of Medical Information,2018,31(22):80.[doi:10.3969/j.issn.1006-1959.2018.11.025]
[4]程晴晴,李元海,夏晓琼,等.超声联合神经刺激仪臂丛神经干精准阻滞在肥胖患者上肢手术中的应用[J].医学信息,2019,32(19):94.[doi:10.3969/j.issn.1006-1959.2019.19.028]
 CHENG Qing-qing,LI Yuan-hai,XIA Xiao-qiong,et al.Application of Ultrasound Combined with Neurostimulator for Brachial Plexus Nerve Block in Upper Limb Surgery in Obese Patients[J].Journal of Medical Information,2019,32(22):94.[doi:10.3969/j.issn.1006-1959.2019.19.028]
[5]周蜜娟,周平辉,章 荣,等.超声引导下颈神经根阻滞治疗神经根型颈椎病的疗效[J].医学信息,2019,32(14):101.[doi:10.3969/j.issn.1006-1959.2019.14.031]
 ZHOU Mi-juan,ZHOU Ping-hui,ZHANG Rong,et al.Ultrasound-guided Cervical Nerve Root Block for the Treatment of Cervical Spondylotic Radiculopathy[J].Journal of Medical Information,2019,32(22):101.[doi:10.3969/j.issn.1006-1959.2019.14.031]
[6]苏 晓.超声引导下麦默通乳腺微创旋切术与传统手术治疗 乳腺良性肿瘤的疗效比较[J].医学信息,2019,32(14):112.[doi:10.3969/j.issn.1006-1959.2019.14.035]
 SU Xiao.Comparison of Ultrasound-guided Minimally Invasive Mammography with Conventional Surgery for Benign Breast Tumors[J].Journal of Medical Information,2019,32(22):112.[doi:10.3969/j.issn.1006-1959.2019.14.035]
[7]吉晓晨,崔文斌,张博雅,等.超声引导胸椎旁神经阻滞对乳腺癌根治术后疼痛的影响[J].医学信息,2019,32(22):94.[doi:10.3969/j.issn.1006-1959.2019.22.028]
 JI Xiao-chen,CUI Wen-bin,ZHANG Bo-ya,et al.Effect of Ultrasound-guided Thoracic Paravertebral Nerve Block on Pain after Radical Mastectomy for Breast Cancer[J].Journal of Medical Information,2019,32(22):94.[doi:10.3969/j.issn.1006-1959.2019.22.028]
[8]崔怀信,王 鹏,厉志洪,等.超声引导下射频消融术治疗乳腺良性结节的临床效果[J].医学信息,2020,33(13):103.[doi:10.3969/j.issn.1006-1959.2020.13.028]
 CUI Huai-xin,WANG Peng,LI Zhi-hong,et al.Ultrasound-guided Radiofrequency Ablation for the Treatment of Benign Breast Nodules[J].Journal of Medical Information,2020,33(22):103.[doi:10.3969/j.issn.1006-1959.2020.13.028]
[9]李显峰.超声引导下微波消融治疗甲状腺良性结节的效果及安全性[J].医学信息,2020,33(19):107.[doi:10.3969/j.issn.1006-1959.2020.19.032]
 LI Xian-feng.Effect and Safety of Ultrasound-guided Microwave Ablation in the Treatment of Benign Thyroid Nodules[J].Journal of Medical Information,2020,33(22):107.[doi:10.3969/j.issn.1006-1959.2020.19.032]
[10]孙洪洋,刘文波,姜 阳,等.超声与超声引导下粗针穿刺活检对乳腺肿块的早期诊断与鉴别价值[J].医学信息,2022,35(04):171.[doi:10.3969/j.issn.1006-1959.2022.04.046]
 SUN Hong-yang,LIU Wen-bo,JIANG Yang,et al.Early Diagnosis and Differential Value of Ultrasound and Ultrasound Guided Needle Biopsyin Breast Masses[J].Journal of Medical Information,2022,35(22):171.[doi:10.3969/j.issn.1006-1959.2022.04.046]

更新日期/Last Update: 1900-01-01