周荣生

【摘要】 目的：探討乳腺良性结节患者采用超声引导下麦默通（Mammotome）微创旋切术治疗的有效性及安全性。方法：选取2020年3月—2022年12月瑞昌市人民医院收治的80例乳腺良性结节患者，以随机数字表法分成研究组（n=40）与对照组（n=40）。对照组给予常规开放切除术治疗，研究组给予超声引导下Mammotome微创旋切术治疗。对两组临床指标、瘢痕形态、乳房外观美学及并发症发生情况进行比较。结果：与对照组比较，研究组手术时间更短，术中出血量更少，术后1 d 视觉模拟评分法（VAS）评分更低，差异均有统计学意义（P<0.05）；研究组术后3个月温哥华瘢痕量表（VSS）评分均较对照组更低，差异均有统计学意义（P<0.05）；研究组乳房外观美学优良率（100%）较对照组（85.00%）更高，差异有统计学意义（P<0.05）；研究组（5.00%）并发症发生率较对照组（22.50%）更低，差异有统计学意义（P<0.05）。结论：超声引导下Mammotome微创旋切术治疗乳腺良性结节能够降低术后疼痛感，减轻对乳房外观美学的影响，降低并发症发生率。

【关键词】 乳腺良性结节 超声引导 Mammotome微创旋切术 有效性 安全性

Efficacy and Safety of Ultrasound-guided Mammotome Minimally Invasive Potary Surgery in the Treatment of Benign Breast Nodules/ZHOU Rongsheng. //Medical Innovation of China， 2024， 21（07）： -118

[Abstract] Objective： To explore the efficacy and safety of ultrasound-guided Mammotome minimally invasive potary surgery in the treatment of patients with benign breast nodules. Method： A total of 80 patients with benign breast nodules treated in the People's Hospital of Ruichang from March 2020 to December 2022 were selected and divided into study group （n=40） and control group （n=40） according to random number table method. The control group was given conventional open resection and the study group was given ultrasound-guided Mammotome minimally invasive potary surgery. The clinical indexes， scar morphology， breast appearance aesthetics and incidence of complications were compared between the two groups. Result： Compared with the control group， the operation time of the study group was shorter， the intraoperative bleeding volume of the study group was less， and the visual analogue scale （VAS） score 1 day after operation was lower， the differences were statistically significant （P<0.05）. The Vancouver scar scale （VSS） scores of the study group were lower than those of the control group at

3 months after operation， the differences were statistically significant （P<0.05）. The excellent and good rate of breast appearance aesthetics in the study group （100%） was higher than that in the control group （85.00%）， the difference was statistically significant （P<0.05）. The complication rate of the study group （5.00%） was lower than that of the control group （22.50%）， the difference was statistically significant （P<0.05）. Conclusion： Ultrasound-guided Mammotome minimally invasive potary surgery in the treatment of benign breast nodules can reduce postoperative pain， reduce the impact on breast appearance aesthetics， and reduce the incidence of complications.

[Key words] Benign breast nodules Ultrasound-guided Mammotome minimally invasive potary surgery Efficacy Safety

First-author's address： Department of Ultrasound， the People's Hospital of Ruichang， Ruichang 332299， China

doi：10.3969/j.issn.1674-4985.2024.07.027

乳腺良性结节属于常见良性肿瘤疾病，以女性为主要发病群体，特别是青中年女性，多为单发性结节，少数患者（13%～20%）为多发性结节，虽然该病通常不会对患者生命安全造成较大威胁，但仍有部分结节存在恶变风险，需及时进行治疗[1]。目前临床多采用手术方式治疗乳腺良性结节，常规开放切除术虽然能够直观检查病灶部位实际情况，操作较为简便，但不仅会对乳房造成较大创伤，影响外部美观度，引起术后并发症，还容易遗漏直径较小的病灶，促使预后不良风险增加[2]。超声引导下麦默通（Mammotome）微创旋切术具有创伤小、术后恢复快等优势，在超声辅助下，能够发现微小病灶，提高手术视野清晰度，保证手术操作顺利进行，现已被广泛应用于乳腺结节等疾病治疗中，得到医务人员及患者一致认可[3]。本研究对80例乳腺良性结节患者进行分析，旨在探讨超声引导下Mammotome微创旋切术治疗的有效性及安全性，详情如下。……