B超引导麦默通在较大乳腺良性肿物切除活检中的效果观察

Effect of B-Ultrasound Guided MMT in Resection and Biopsy of Large Benign Breast Tumor

摘要: 目的：探讨在B型超声引导下麦默通真空旋切术(MMT)在较大乳腺良性肿瘤切除活检中的手术效果及安全性。方法：选择2018年1月至2019年10月我院收治入院的100例乳腺良性大肿瘤的患者作为研究对象回顾性分析，分别采取传统开放活检手术(作为对照组)和麦默通(MMT)真空辅助旋切活检手术(作为实验组)，每组各50例，术后比较两组的美观满意度、手术时间、出血量、切口长度、术后并发症等指标。结果：实验组美观满意度高于对照组(P < 0.05)，实验组手术出血量、切口长度、愈合时间均优于对照组(P < 0.05)，而两组手术时间无统计学差异(P > 0.05)；术后并发症方面，实验组局部血肿发生率要高于对照组(P < 0.05)，而实验组脂肪液化、乳房变形、切口感染发生率均低于对照组(P < 0.05)。结论：B超引导下麦默通真空辅助旋切活检术可作为较大乳腺良性肿瘤切除活检的一种手术方法，具有安全高效、微创美观等优点，对于美观要求较高的患者具有重要临床意义。

Abstract: Objective: To investigate the efficacy and safety of B-mode ultrasound-guided Mammotome vacuum circumcision (MMT) in the resection and biopsy of large breast benign tumors. Methods: From January 2018 to October 2019, 100 patients with breast benign large tumor admitted to our hospital were selected as the research objects, and the retrospective analysis was conducted. There were two ways of conventional open biopsy (as the control group) and MMT vacuum assisted rotary biopsy (as the experimental group). There were 50 cases in each group. The aesthetic satisfaction, operation time, blood loss, incision length and postoperative complications were compared between the two groups. Results: The aesthetic satisfaction of the experimental group was higher than that of the control group (P < 0.05); the bleeding volume, incision length and healing time of the experimental group were better than those of the control group (P < 0.05); there was no significant difference in operation time between the two groups (P > 0.05). In terms of postoperative complications, the incidence of local hematoma in the experimental group was higher than that in the control group (P < 0.05), while the incidences of fat liquefaction, breast deformation and incision infection in the experimental group were lower than those in the control group (P < 0.05). Conclusion: B-ultrasound-guided Mammotome vacuum assisted biopsy can be used as a surgical method for resection and biopsy of large breast benign tumor, which has the advantages of safety, high efficiency, minimal invasion and beauty, and has important clinical significance for patients with high aesthetic requirements.