CAJ | 학술논문

目的：探讨在B超引导下行乳腺良性肿块微创旋切术与传统开放手术的疗效对比。方法：收治乳腺良性肿块患者250例，分别采用微创旋切术(135例)和传统开放手术(115例)，比较两种术式的手术时间、术中出血量、切口长度、患者满意度及术后并发症的发生情况。结果：微创旋切术在手术时间、术中出血量、切口长度及患者满意度上较传统手术有不可比拟的优势(P＜0.05)；术后随访3～12个月，均未发现乳腺内残留病灶及肿块复发。结论：超声引导下的乳腺微创旋切术较传统开放手术定位准确，时间短，出血量少，术后恢复快，并发症少。
목적：탐토재B초인도하행유선량성종괴미창선절술여전통개방수술적료효대비。방법：수치유선량성종괴환자250례，분별채용미창선절술(135례)화전통개방수술(115례)，비교량충술식적수술시간、술중출혈량、절구장도、환자만의도급술후병발증적발생정황。결과：미창선절술재수술시간、술중출혈량、절구장도급환자만의도상교전통수술유불가비의적우세(P＜0.05)；술후수방3～12개월，균미발현유선내잔류병조급종괴복발。결론：초성인도하적유선미창선절술교전통개방수술정위준학，시간단，출혈량소，술후회복쾌，병발증소。
Objective:To discuss the comparative study of minimally invasive breast surgery and open surgery in the treatment of benign breast masses.Methods:250 patients with benign breast mass were selected,minimally invasive surgery(135 cases)and traditional open surgery(115 cases)were used respectively,to compare the operation time,bleeding volume, incision length,patient satisfaction and postoperative complications of two kinds of operation.Results:Minimally invasive surgery in the operation time, intraoperative blood loss, incision length and patient satisfaction compared with the traditional surgery has incomparable advantages(P<0.05),3 to 12 months after operation,no residual lesion and tumor recurrence were found.Conclusion:The minimally invasive surgery under the guidance of ultrasound is more accurate than the traditional open operation,with a short time, less blood loss,rapid recovery and less complications.