CAJ | 학술논문

目的：评价超声引导负压吸引旋切刀治疗乳腺肿瘤的疗效和安全性。方法：选取收治的790例乳腺肿瘤患者，随机分为观察组和对照组，其中观察组395例，采用负压吸引旋切刀术治疗，对照组395例，采用传统切除术治疗，观察并比较两组患者临床疗效、患者满意度及不良反应的发生率。结果：两组患者术后病理结果比较，差异无统计学意义（ P>0.05）。观察组有效率为98.37%，对照组有效率为96.96%，两组患者有效率相比较，差异无统计学意义（ P>0.05）。观察组切口感染、瘢痕形成等并发症的发生率均低于对照组，相比较差异有统计学意义（ P<0.05），两组患者肿瘤复发及局部血肿的发生率相比较，差异无统计学意义（P>0.05），两组临床满意度比较差异有统计学意义（P<0.05）。结论：采用超声引导下负压吸引旋切术治疗乳腺肿瘤疗效好，并发症的发生率低，值得在临床上予以推广。
목적：평개초성인도부압흡인선절도치료유선종류적료효화안전성。방법：선취수치적790례유선종류환자，수궤분위관찰조화대조조，기중관찰조395례，채용부압흡인선절도술치료，대조조395례，채용전통절제술치료，관찰병비교량조환자림상료효、환자만의도급불량반응적발생솔。결과：량조환자술후병리결과비교，차이무통계학의의（ P>0.05）。관찰조유효솔위98.37%，대조조유효솔위96.96%，량조환자유효솔상비교，차이무통계학의의（ P>0.05）。관찰조절구감염、반흔형성등병발증적발생솔균저우대조조，상비교차이유통계학의의（ P<0.05），량조환자종류복발급국부혈종적발생솔상비교，차이무통계학의의（P>0.05），량조림상만의도비교차이유통계학의의（P<0.05）。결론：채용초성인도하부압흡인선절술치료유선종류료효호，병발증적발생솔저，치득재림상상여이추엄。
Objective To evaluate the efficacy and safety of ultrasound - guided rotary cutter suction treatment with breast canc-er. Method 790 cases of breast cancer patients were randomly divided into observation group and control group,395 cases of the observa-tion group were given a rotary cutter suction treatment,395 cases of the control group were given the traditional resection,clinical efficacy, patient satisfaction and the incidence of adverse reactions were compared and observed. Results The two groups of patients pathology results showed no significant difference. The efficienoy of observation group was 98. 37%,the efficenoy of the control group was 96. 96%,the effi-ciency of the two groups of patients with no significant difference was compared( P> 0. 05). The incidence rate in the observation group of wound infection,scarring and other complications was lower than the control group,the difference was statistically significant( P<0. 05 ), the incidence of tumor recurrence and olcal hematoma in the two groups were compared. The difference wasn't statistically significant( P>0. 05),the clinical satisfaction in two groups was compared,the difference was statistically significant(P<0. 05). Conclusion The effica-cy of ultrasound-guided vacuum aspiration atherectomy treatment of breast tumor is good,the incidence of complications is low,it is worth to be promoted in clinical practice.