乳腺微创旋切术与传统术治疗临床触诊阴性乳腺结节的效果

The Effect of Minimally Invasive Rotary Resection of the Breast and Traditional Surgery in the Treatment of Breast Nodules with Negative Clinical Palpation

摘要: 目的：研究临床触诊阴性乳腺结节疾病采用乳腺微创旋切术治疗的临床疗效。方法：研究对象纳取2022年3月至2024年3月时间段内收治的临床触诊阴性乳腺结节患者100例，根据入院顺序随机数字分组法将100例患者划分为研究组(50例，治疗方式为乳腺微创旋切术治疗)和参照组(50例，治疗方式为传统手术治疗)。对两组相关手术指标、临床治疗效果和并发症发生情况进行观察记录和对比分析。结果：与参照组相比，研究组患者的切口长度明显较短，术中出血量明显较少，手术时间和切口愈合时间相对较短，组间数据比较差异显著(p < 0.05)。研究组的治疗有效率为96.00% (48/50)与参照组的80.00% (40/50)的相比明显较高，研究组的并发症发生率为2.00% (1/50)与参照组的16.00% (8/50)相比明显较低，组间数据比较差异显著(p = 0.036 < 0.05)。结论：相对于传统手术来说，采用乳腺微创旋切术治疗临床触诊阴性乳腺结节效果凸显，能够有效提高手术效率，手术创口小、术中出血量少，术后恢复快，安全可靠，应用价值高。

Abstract: Objective: To study the clinical efficacy of minimally invasive breast resection in the treatment of breast nodular diseases with negative clinical palpation. Methods: A total of 100 patients with clinically palpated negative breast nodules admitted from March 2022 to March 2024 were selected as the research subjects. According to the random number grouping method based on the order of admission, the 100 patients were divided into the study group (50 cases, treated with minimally invasive breast resection) and the reference group (50 cases, treated with traditional surgery). The relevant surgical indicators, clinical therapeutic effects and the occurrence of complications of the two groups were observed, recorded and comparatively analyzed. Results: Compared with the reference group, the incision length of patients in the study group was significantly shorter, the intraoperative blood loss was significantly less, and the operation time and incision healing time were relatively shorter. There were significant differences in the data between the groups (p < 0.05). The effective rate of treatment in the study group was 96.00 (48/50), which was significantly higher than 80.00% (40/50) in the reference group. The incidence of complications in the study group was 2.00% (1/50), which was significantly lower than 16.00% (8/50) in the reference group. There was a significant difference in the data between the groups (p = 0.036 < 0.05). Conclusion: Compared with traditional surgery, minimally invasive rotary resection of the breast has a prominent effect in the treatment of breast nodules with negative clinical palpation. It can effectively improve the surgical efficiency, has a small surgical incision, less intraoperative blood loss, quick postoperative recovery, is safe and reliable, and has high application value.