超声引导下真空辅助旋切术治疗乳腺良性疾病:附1267例报告

发布时间：2018-06-03 17:46

本文选题：乳腺良性病变 + 超声引导微创旋切　；参考：《南方医科大学学报》2017年08期

【摘要】：目的评估超声引导下真空辅助旋切对乳腺良性疾病手术切除的临床应用价值。方法回顾性研究2009年1月~2014年1月在贵阳市妇幼保健院乳腺科进行乳腺微创旋切手术的1267名乳腺良性疾病患者在切除率、并发症发生率、复发率及满意度方面临床随访结果及对相关危险因素分析。术后于1月、6月及其后每6月进行随访至2年(中位随访22个月)。结果(1)1267例中1259例完全切除,8例术后1月发现残留,手术切除率99.36%。手术切除率与病灶大小相关(P=0.003),而与年龄、BI-RADS分级、病灶数目及位置无明显相关(P值均0.05)。(2)1267例中89例出现并发症(7.02%),其中血肿70例(5.52%),发生率与病灶数目及位置相关(P=0.000),而与年龄、BI-RADS分级、病灶大小无明显相关(P值均0.05)。(3)1267例中193例患者被确诊有复发,复发率15.23%,其中原位复发65例(5.13%),新发病变128例(10.1%)。复发率与病灶数目及大小相关(P=0.000),而与年龄、BI-RADS分级、病灶位置无明显相关(P值均0.05)。(4)1267例患者有6例对手术外观不满意,患者满意度达99.52%。结论超声引导下MMT真空辅助旋切对乳腺良性疾病是一种安全有效的手术,手术并发症少,切除率高,复发率低,对良性和高风险乳腺病变,特别是多发性乳房良性病变具有满意的外观效果。
[Abstract]:Objective to evaluate the clinical value of ultrasound-guided vacuum-assisted excision for benign breast diseases. Methods from January 2009 to January 2014, 1267 patients with benign breast diseases underwent minimally invasive mastectomy from January 2009 to January 2014 in the Department of Breast of Guiyang Maternal and Child Health Hospital. The clinical follow-up results and risk factors were analyzed in the aspects of recurrence rate and satisfaction. The patients were followed up to 2 years in 1 month, 6 months and every 6 months thereafter (median 22 months follow-up). Results 1259 cases were completely resected and 8 cases were found residual one month after operation, the resectability rate was 99.36%. The surgical resection rate was correlated with the size of the lesion. However, there was no significant correlation between the surgical resection rate and the BI-RADS grade, the number and location of the lesions, the number and location of the lesions (P = 0.05). The complications were found in 89 of the 1267 cases. The incidence of hematoma was 5.52%, and the incidence was correlated with the number and location of the lesions (P0.000), but with the age BI-RADS grade. There was no significant correlation between the size of lesions and P values of 193 cases of 1267 patients. The recurrence rate was 15.23. 65 cases were in situ recurrence, and 128 cases were new lesions with a recurrence rate of 10. 1% (P < 0. 05, P = 0. 05, P = 0. 05, P = 0. 05, P = 0. 05, P = 0. 05, P = 0. 05). The recurrence rate was correlated with the number and size of the lesion, but not with the BI-RADS grade. There was no significant correlation between the location of the lesion and the location of the lesion. Six of the 1267 patients were not satisfied with the appearance of the operation, and the patients' satisfaction was 99.52%. Conclusion Ultrasound-guided MMT vacuum assisted rotary resection is a safe and effective procedure for benign breast diseases with less complications, higher resection rate and lower recurrence rate. In particular, multiple benign breast lesions have a satisfactory external effect.
【作者单位】：贵阳市妇幼保健院乳腺科//贵阳市乳腺微创中心;
【基金】：贵州省科技计划项目(黔科合[201]7001)
【分类号】：R655.8

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