[1]张忠玲,熊 辉.乳腺良性叶状肿瘤真空辅助旋切与开放手术对术后局部复发的影响[J].医学信息,2023,36(12):133-135139.[doi:10.3969/j.issn.1006-1959.2023.12.026]
　ZHANG Zhong-ling,XIONG Hui.Effect of Vacuum-assisted Excision and Open Surgery on Local Recurrence of Benign Phyllodes Tumor of the Breast[J].Journal of Medical Information,2023,36(12):133-135139.[doi:10.3969/j.issn.1006-1959.2023.12.026]
点击复制

乳腺良性叶状肿瘤真空辅助旋切与开放手术对术后局部复发的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年12期
页码:
133-135139
栏目:
论著
出版日期:
2023-06-15

文章信息/Info

Title:
Effect of Vacuum-assisted Excision and Open Surgery on Local Recurrence of Benign Phyllodes Tumor of the Breast
文章编号:
1006-1959（2023）12-0133-04
作者:
张忠玲; 熊 辉
（1.湖北文理学院附属谷城医院普外科，湖北 襄阳 441700；2.湖北医药学院附属襄阳市第一人民医院，湖北 襄阳 441700）
Author(s):
ZHANG Zhong-ling; XIONG Hui
(1.Department of General Surgery,Gucheng Hospital Affiliated to Hubei University of Arts and Sciences,Xiangyang 441700,Hubei,China;2.The First People’s Hospital of Xiangyang Affiliated to Hubei University of Medicine,Xiangyang 441700,Hubei,China)
关键词:
乳腺良性叶状肿瘤; 真空辅助旋切; 开放手术; 术后复发; 手术瘢痕
Keywords:
Benign hyllodes tumor of the breast; Vacuum-assisted excision; Open surgery; Postoperative recurrence; Surgical scar
分类号:
R737.9
DOI:
10.3969/j.issn.1006-1959.2023.12.026
文献标志码:
A
摘要:
目的 分析良性乳腺叶状肿瘤（PTB）采用真空辅助旋切（VAE）与开放手术对术后局部复发的影响。方法 纳入2019年1月-2022年1月湖北文理学院附属谷城医院收治的60例良性PTB患者，利用随机数字表法分为VAE组和开放组，每组30例。VAE组采用真空辅助旋切治疗，开放组则采用开放手术治疗，比较两组手术指标（切口长度、手术时间、术中出血量）、术后恢复情况[术后住院时间、切口愈合时间、温哥华瘢痕量表（VSS）评分]、患者满意度、手术并发症及术后局部复发率。结果 VAE组切口长度短于开放组、手术时间短于开放组、术中出血量少于开放组（P＜0.05）；VAE组术后住院时间、切口愈合时间短于开放组，VSS评分低于开放组（P＜0.05）；VAE组手术并发症发生率低于开放组（P＜0.05）；VAE组患者满意度高于开放组（P＜0.05）；VAE组与开放组术后局部复发率比较，差异无统计学意义（P＞0.05）。结论 VAE与开放手术对良性PTB均具有确切疗效，其术后局部复发结果相似，但VAE切口更小、手术时间及术后恢复时间更短，且瘢痕影响小、手术并发症少、患者满意度相对更高。
Abstract:
Objective To analyze the effect of vacuum-assisted excision (VAE) and open surgery on local recurrence of benign phyllodes tumor of the breast (PTB).Methods Sixty patients with benign PTB admitted to Gucheng Hospital Affiliated to Hubei University of Arts and Sciences from January 2019 to January 2022 were included and divided into VAE group and open group by random number table method, with 30 patients in each group. The VAE group was treated with vacuum-assisted excision, while the open group was treated with open surgery. The surgical indexes (incision length, operation time, intraoperative blood loss), postoperative recovery [postoperative hospital stay, incision healing time, Vancouver Scar Scale (VSS) score], patient satisfaction, surgical complications and postoperative local recurrence rate were compared between the two groups.Results The incision length of the VAE group was shorter than that of the open group, the operation time was shorter than that of the open group, and the intraoperative blood loss was less than that of the open group (P<0.05). The postoperative hospitalization time and incision healing time in the VAE group were shorter than those in the open group, and the VSS score was lower than that in the open group (P<0.05). The incidence of surgical complications in the VAE group was lower than that in the open group (P<0.05). The satisfaction of patients in the VAE group was higher than that in the open group (P<0.05). There was no significant difference in local recurrence rate between VAE group and open group (P>0.05).Conclusion VAE and open surgery have definite curative effect on benign PTB, and their local recurrence results are similar, but VAE has smaller incision, shorter operation time and postoperative recovery time, less scar effect, fewer surgical complications, and higher patient satisfaction.

参考文献/References:

[1]Boudou M,Jabi R,Guellil A,et al.The malignant degeneration of a phyllode tumour in man: A case report[J].International Journal of Surgery Case Reports,2021,80(10):105644.[2]Mimoun C,Zeller A,Seror J,et al.A Pre-operative Score to Discriminate Fibroepithelial Lesions of the Breast: Phyllode Tumor or Fibroadenoma?[J].Anticancer Research,2020,40(2):1095-1100.[3]李俊杰,邵志敏.2018年美国《国家综合癌症网络乳腺癌临床实践指南》解读[J].中华乳腺病杂志,2018,12(3):129-134.[4]庞宏欣,王卫,李艳红.超声引导下微创旋切术对乳腺良性肿瘤患者术后恢复与并发症风险的影响分析[J].山西医药杂志,2022,51(16):1827-1829.[5]马贞秀,张宝亮.微创旋切法与传统开放式手术方法治疗乳腺良性肿瘤的疗效、并发症的比较分析[J].空军医学杂志,2019,35(5):410-411,443.[6]张如辉,刘尚军,王沛.超声引导下真空辅助乳腺活检术治疗乳腺良性肿瘤的效果及安全性[J].中国医药导报,2021,18(23):108-111.[7]张军,裴静.超声引导下真空辅助旋切手术治疗乳腺良性肿瘤的疗效及安全性评价[J].华南国防医学杂志,2021,35(7):489-492.[8]朱海龙,张璇.超声引导下微创旋切术治疗乳腺良性肿瘤的手术效果和美观效果评价[J].实用临床医药杂志,2019,23(13):64-66,70.[9]钟镇铧,范凤凤,李占文.乳腺良性叶状肿瘤不同手术治疗效果及复发危险因素分析[J].浙江医学,2022,44(19):2081-2084,2088.[10]马靖靖,宋文华,刘小五,等.超声引导下真空辅助旋切手术治疗乳腺良性叶状肿瘤的疗效及术后局部复发的影响因素分析[J].现代生物医学进展,2020,20(22):4279-4282,4391.[11]梁娴,刘光清,符川,等.超声引导微创旋切术与开放性手术在乳腺肿瘤治疗中的应用价值[J].中国超声医学杂志,2020,36(3):201-204.[12]Benderra MA,Ferrier C,Buob D,et al.Neglected giant benign phyllode tumor of the breast[J].Eur J Nucl Med Mol Imaging,2022,49(11):3954-3955.[13]Bj?觟rnstr?觟m M,Niinikoski L,Meretoja TJ,et al.Comparison of vacuum-assisted excision (VAE) and breast lesion excision system (BLES) in the treatment of intraductal papillomas[J].Eur J Surg Oncol,2022,48(1):67-72.[14]汪茜,许涛.超声引导下麦默通乳腺微创旋切术治疗乳腺良性肿瘤疗效及对乳房外观美观度与肿瘤标志物水平影响的研究[J].中国医学装备,2022,19(8):104-108.[15]肖献秋,芮小平,王力,等.超声引导联合Encor真空辅助微创旋切系统治疗乳腺良性肿块的临床疗效[J].宁夏医科大学学报,2019,41(12):1265-1268.[16]张少玲,连臻强,余海云,等.乳腺良性叶状肿瘤真空辅助旋切与开放手术对术后局部复发的影响[J].中华外科杂志,2020,58(2):110-113.[17]金俊超,郑依童,刘伟迪.微创旋切术治疗乳腺良性肿瘤的临床疗效、安全性及对患者抑郁、焦虑情绪的影响[J].国际精神病学杂志,2021,48(5):865-868.[18]杨钱,李中福,高云瀚,等.乳腺真空辅助旋切术治疗乳腺良性肿块的效果分析[J].局解手术学杂志,2019,28(9):749-753.[19]罗元胜,周腾贤,陈思桦,等.真空辅助旋切术与经乳晕旁切口手术治疗乳腺良性肿物的疗效比较[J].临床和实验医学杂志,2019,18(15):1647-1650.[20]何鹏,李永飞,吴意赟,等.超声引导下真空辅助旋切术与开放切除术治疗合并钙化灶乳腺肿块的效果比较[J].实用临床医药杂志,2021,25(22):13-16.[21]石剑,魏建南,李萍,等.超声引导真空辅助旋切与局部扩大切除治疗乳腺良性叶状肿瘤的疗效比较[J].中国微创外科杂志,2021,21(7):615-618.[22]卢晓峰,张俊英,孙淑明,等.微创旋切术治疗乳腺良性肿瘤患者的临床疗效、应激反应指标及复发观察[J].四川医学,2018,39(12):1393-1396.

更新日期/Last Update: 1900-01-01