| 摘要: |
| 目的 探讨超声术前评估及精准定位在真空辅助微创旋切系统治疗乳腺多发良性包块中的价值。方法 回顾性分析2016年1月-2017年10月本院收治的52例乳腺多发良性包块患者（病灶156个）资料，其中随机选取经术前超声评估及精准定位后行超声引导下乳腺包块旋切手术的26例病例（共78个病灶）作为研究组，另随机选取只经普通超声检查后行超声引导下乳腺包块旋切手术的26例病例（共78个病灶）作为对照组；分别比较两组患者的手术旋切时间，旋切刀数及术中出血的发生率。结果 所有包块均被完整切除。研究组的手术时间（19.88±5.73）min显著短于对照组（30.38±9.27）min， 差异有统计学意义（t =-4.915，P<0.05）。研究组的旋切刀数（14.54±6.35）显著少于对照组（21.81±9.46）， 差异有统计学意义（t =-3.254，P<0.05）。研究组的术中出血率明显低于对照组，差异有统计学意义（χ^2=6.933，P<0.05）。结论 术前行超声评估及乳腺包块精准定位从而指导手术预案的制定，联合术中超声引导下真空辅助微创旋切系统治疗乳腺多发包块，可缩短手术时间，减少手术刀数及降低术中出血的发生率，在对乳腺多发包块实现快速手术及真正微创方面具有一定的临床意义。 |
| 关键词: 超声评估 精准定位 真空辅助微创旋切系统 乳腺多发包块 |
| DOI： |
| 投稿时间：2018-04-18修订日期：2018-05-14 |
| 基金项目: |
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| Preoperative Ultrasound Evaluation and Precise Location for the Treatment of Breast Multiple Benign lumps via Vacuum Assisted Minimally Invasive Rotary Cutting System |
| zhou yonggang,yuan lijun |
| () |
| Abstract: |
| Objective To investigate the value of ultrasound preoperative Evaluation and precise location in Vacuum Assisted Minimally Invasive Rotary Cutting System for the treatment of breast multiple benign lumps. Methods 52 patients with multiple benign breast lumps (156 lesions) admitted to our hospital from January 2016 to October 2017 were retrospectively analyzed. Among them, 26 cases (78 lesions), who were performed by breast tumor rotation operation under ultrasound guidance after preoperative ultrasound evaluation and accurate location, were randomly selected as a study group; in addition, 26 cases (78 lesions) , who were performed by breast tumor rotation operation under ultrasound guidance after conventional ultrasound examination, were randomly selected as a control group. The operation time, the number of rotary cutting knives and the incidence of intraoperative hemorrhage were compared with two groups. Results All lumps were completely removed. The operation time (19.88 ± 5.73 min) in the study group was significantly shorter than that in the control group (30.38 ± 9.27min), the difference was statistically significant (t = -4.915, P <0.05). The number of rotary cutting knives in the study group (14.54 ± 6.35) was significantly less than that in the control group (21.81 ± 9.46), the difference was statistically significant (t = -3.254, P <0.05). Intraoperative bleeding rate of the study group was significantly lower than that of the control group, the difference was statistically significant (χ^2=6.933，P<0.05). Conclusion Preoperative ultrasound evaluation and precise positioning of breast masses to guide the formulation of the surgical plan, combined with the vacuum assisted minimally invasive rotation system via ultrasound leading to treat multiple masses of the breast, can shorten the operation time, reduce the number of rotary cutting knives and reduce intraoperative bleeding rate. It has certain clinical significance in achieving rapid surgery and true minimally invasive surgery. |
| Key words: Ultrasound evaluation Accurate location Vacuum Assisted Minimally Invasive Rotary Cutting System Breast multiple benign lumps |
