CAJ | 학술논문

目的：探讨超声引导下真空辅助旋切系统在乳腺纤维腺瘤治疗中的应用效果。方法选取2012年4月至2014年4月于我院就诊的乳腺纤维腺瘤患者共312例，将患者按照入院编号，随机分为两组，观察组和对照组患者各156例，对照组患者入院之后给予常规治疗；观察组患者在超声引导下利用真空辅助旋切系统方法进行治疗，两组患者在接受定期治疗后，比较观察患者在接受治疗后是否出现肿瘤或者血肿等病症。结果观察组和对照组患者接受治疗后，观察组患者手术过程中总出血量为20 ml，手术时间为（15±12）min，患者疤痕平均长度为0．21 cm；对照组患者手术过程中总出血量为42 ml，手术时间为（32±13）min，患者疤痕平均长度为1．02 cm。组间治疗效果比较具有明显差异，P＜0．05。结论临床上在治疗乳腺纤维腺瘤时，可以采用超声引导下真空辅助旋切系统治疗方法，该方法一方面能准确地确定患者乳腺纤维腺瘤，还具有手术安全、创伤小以及恢复快等特点，是改善患者治疗效果，提高预后质量的重要手段，在临床上获得非常理想的治疗效果，值得在临床上大力推广。
목적：탐토초성인도하진공보조선절계통재유선섬유선류치료중적응용효과。방법선취2012년4월지2014년4월우아원취진적유선섬유선류환자공312례，장환자안조입원편호，수궤분위량조，관찰조화대조조환자각156례，대조조환자입원지후급여상규치료；관찰조환자재초성인도하이용진공보조선절계통방법진행치료，량조환자재접수정기치료후，비교관찰환자재접수치료후시부출현종류혹자혈종등병증。결과관찰조화대조조환자접수치료후，관찰조환자수술과정중총출혈량위20 ml，수술시간위（15±12）min，환자파흔평균장도위0．21 cm；대조조환자수술과정중총출혈량위42 ml，수술시간위（32±13）min，환자파흔평균장도위1．02 cm。조간치료효과비교구유명현차이，P＜0．05。결론림상상재치료유선섬유선류시，가이채용초성인도하진공보조선절계통치료방법，해방법일방면능준학지학정환자유선섬유선류，환구유수술안전、창상소이급회복쾌등특점，시개선환자치료효과，제고예후질량적중요수단，재림상상획득비상이상적치료효과，치득재림상상대력추엄。
Objective To investigate the ultrasound guided vacuum assisted biopsy system application effect in the treatment of breast fibroadenoma.Methods From April, 2012 to April, 2014 in our hospital, 312 cases of breast fibroadenoma patients, patients will be in accordance with the admission number, were randomly divided into two groups, the observation group and the control group of the 156 cases of patients after admission, patients in control group received routine treatment; the observation group patients in the ultra sound guided by the vacuum assisted biopsy system, method of treatment, patients in the two groups received regular treatment, observation and comparison of tumor or hematoma are the symptoms occur in patients after treatment. Results The observation group and the control group of patients after treatment, observation of the total amount of bleeding patients to 20mL during operation, operation time was 15 ±12min, the average length of patients with scar is 0.21cm;control the total amount of bleeding patients to 42ml during operation, operation time was 32 ± 13min, the average length for 1.02cm patients with hypertrophic scar.Comparison of the effect between the treatment groups showed significant difference, P<0.05.Conclusions Clinically in the treatment of breast fibroadenoma, can use ultrasound guided vacuum assisted biopsy system treatment, on the one hand the method can accurately identify patients with breast fibroadenoma, also has the characteristics of safe operation, less trauma and quick recovery, is to improve the patient treatment effect, an important means to improve the prognosis of quality, obtained very ideal the effect of treatment in clinic, and it is worth popularizing in clinic.