Therapeutic effect of vacuumassisted resection in the treatment of benign breast masses

YANG Qian; LI Zhongfu; GAO Yunhan; HUA Ye; HU Song

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Therapeutic effect of vacuumassisted resection in the treatment of benign breast masses

更新时间：2023-05-22

- Therapeutic effect of vacuumassisted resection in the treatment of benign breast masses
- null Issue 9, Pages: 749(2019)
- 作者机构：
  
  重庆市第四人民医院普外科,重庆,400014
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：2019，
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YANG Qian, LI Zhongfu, GAO Yunhan, et al. Therapeutic effect of vacuumassisted resection in the treatment of benign breast masses. [J]. null (9):749(2019)
DOI：

YANG Qian, LI Zhongfu, GAO Yunhan, et al. Therapeutic effect of vacuumassisted resection in the treatment of benign breast masses. [J]. null (9):749(2019) DOI：

摘要

目的探讨乳腺真空辅助旋切术治疗乳腺良性肿块的有效性和安全性。方法回顾性分析2016年11月至2019年4月重庆市第四人民医院普外科收治的775例乳腺良性占位性病变患者的临床资料，按照手术方法的不同分为对照组（327例）和观察组（448例）。对照组采用乳晕旁切口手术

观察组采用乳腺真空辅助旋切术。分析2组患者的手术相关指标、术后不良反应、切口感染及复发情况。结果对照组患者的手术时间和瘢痕长度长于观察组患者，手术费用低于观察组患者，差异有统计学意义（t=40.789、-43.406、97.606，P<0.05），而2组患者手术出血量比较差异无统计学意义（t=1.090，P>0.05）；对照组患者出现术后血肿、乳房畸形和术后残留的比例均高于观察组，差异有统计学意义（χ2=30.933、44.487、13.749，P<0.05）；对照组患者切口感染与复发的比例高于观察组患者，差异具有统计学意义（χ2=21.152、18.037，P<0.05）；对照组患者的满意率为56.57%低于观察组的93.53%，差异有统计学意义（χ2=150.095，P<0.05）。结论使用乳腺真空辅助旋切术治疗乳腺良性肿块可以减少手术时间，降低术后不良反应发生率，提升患者满意度。

Abstract

Objective To explore the therapeutic effect of vacuumassisted resection in the treatment of benign breast masses. MethodsA retrospective analysis of 775 cases of benign space occupying lesions of breast treated in the department of general surgery of the fourth people′s hospital of Chongqing from November 2016 to April 2019 was carried out.All the patients were divided into two groups according to the operative method:327 cases in the control group received surgery through the periareolar incision

and 448 cases in the observation group were treated with vacuum assisted resection.The surgical indicators

postoperative adverse reactions

incision infection and complex conditions of the two groups were analyzed.Results The operation time and scar length of patients in the control group were longer than those in the observation group

and the operation cost was lower than those in the observation group.The difference between the two groups was statistically significant(t=40.789

-43.406

97.606

P<0.05).But there was no statistically significant difference in surgical bleeding volume between the two groups (t=1.090

P>0.05).Compared with the observation group

the postoperative hematoma

breast malformation and postoperative residual rate were higher in the control group

and the differences were statistically significant (χ2=30.933

44.487

13.749

P<0.05).The proportion of incision infection and recurrence in the control group was higher than those in the observation group

and the differences were statistically significant (χ2=21.152

18.037

P<0.05).The satisfaction rate of the control group was 56.57%

and the satisfaction rate of the observation group was 93.53%.The difference between the two groups was statistically significant (χ2=150.095

P<0.05).ConclusionVacuumassisted resection for patients with benign breast masses can reduce the time of surgery and postoperative adverse reactions

and it can improve the satisfaction of patients.

关键词

乳腺良性肿块超声乳腺真空辅助旋切术乳晕旁切口

Keywords

breastbenign massultrasoundvacuum assisted resectionperiareolar incision

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