CAJ | 학술논문

目的：比较乳腺多发良性肿瘤的B超引导下真空辅助旋切术与传统手术临床疗效。方法选取于2012年2月-2013年9月间在我院行手术治疗的乳腺多发性良性肿瘤患者(单侧或双侧肿块，2个≤肿块数目≤10个)200例，其中行真空辅助旋切术治疗的患者100例，传统手术治疗的患者100例，从住院时间、手术时间、术后乳腺外形满意度、术后切口并发症（出血血肿）、切口愈合时间、术后3个月局部有无复发再发6个方面进行优劣势比较。结果真空辅助旋切术组患者的住院平均时间为2.5d、手术平均时间为40min、术后乳腺外形满意度99%、术后血肿1例、切口愈合平均时间3d、术后3个月复查局部无复发再发。传统手术治疗组患者的住院平均时间为6d、手术平均时间为60min、术后乳房外形满意度85%、术后并发症（积液裂开感染）7%、切口愈合平均时间7d、术后3个月复查局部无复发再发。结论对于乳腺多发良性肿瘤患者，B超引导下行真空辅助旋切术的治疗是安全可行的，且优于传统手术。
목적：비교유선다발량성종류적B초인도하진공보조선절술여전통수술림상료효。방법선취우2012년2월-2013년9월간재아원행수술치료적유선다발성량성종류환자(단측혹쌍측종괴，2개≤종괴수목≤10개)200례，기중행진공보조선절술치료적환자100례，전통수술치료적환자100례，종주원시간、수술시간、술후유선외형만의도、술후절구병발증（출혈혈종）、절구유합시간、술후3개월국부유무복발재발6개방면진행우열세비교。결과진공보조선절술조환자적주원평균시간위2.5d、수술평균시간위40min、술후유선외형만의도99%、술후혈종1례、절구유합평균시간3d、술후3개월복사국부무복발재발。전통수술치료조환자적주원평균시간위6d、수술평균시간위60min、술후유방외형만의도85%、술후병발증（적액렬개감염）7%、절구유합평균시간7d、술후3개월복사국부무복발재발。결론대우유선다발량성종류환자，B초인도하행진공보조선절술적치료시안전가행적，차우우전통수술。
Objective To compare the advantages and disadvantages of clinical treatment what the minimally invasive surgery and traditional surgery for multiple breast lesions. Methods Selection 200 cases of the surgical treatment to multiple breast le-sions in February 2012-September 2013 in our center (unilateral or bilateral lump,2≤lump numbers≤10),analysis six aspects of hospitalization days,operation duration,satisfaction of postoperative patients to breast shape,postoperative complications (hematoma),incision healing time,Investigate whether relapse after 3 months. Results minimally invasive surgery patients hospi-talization days for an average of 2.5,the average operation duration was 40 minutes,satisfaction of breast shape was 99%,1% pa-tient hematoma,Incision healing of the average time for 3 days,there was no recurrence after three months. The average length of hospital stay for patients with traditional surgery 6 days,the average operation time was 60 minutes,satisfaction of breast shape was 85%,The postoperative complications of incision was 7%,the average healing time of incision was 7 days,there was no recurrence after three months. Conclusion For multiple benign breast tumor patients,the ultrasonography-guided encor system in minimally invasive surgery is safe and feasible.