Clinical curative effect of ultrasound-based EnCor minimally invasive circumcision in the treatment of plasma cell mastitis
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摘要:
目的研究基于超声定位安珂微创旋切术治疗浆细胞乳腺炎（PCM）患者的临床效果。 方法选取2017年3月~2019年2月于我院接受治疗的120例PCM患者为研究对象，用随机数字表法分为开放组和微创组，各60例，开放组行传统开放手术，微创组接受基于超声定位安珂微创旋切术，观察比较两组围术期指标、肿块清除率、术后疼痛程度、并发症发生情况、患者满意度。 结果微创组手术时间、切口愈合时间及瘢痕长度小于开放组，术中出血量少于开放组，差异均有统计学意义（P < 0.05）；两组患者术后疼痛程度分级资料比较差异具有统计学意义（P < 0.05）；微创组肿块清除率高于开放组，差异有统计学意义（96.00% vs 81.75%，P < 0.05）；微创组术后乳房畸形发生率、总并发症发生率及术后复发率低于开放组（0.00% vs 3.33%、3.33% vs 23.33%、6.67% vs 40.00%，P < 0.05）；微创组患者满意度高于开放组，差异有统计学意义（93.33% vs 70.00%，P < 0.05）。 结论基于超声定位安珂微创旋切术对PCM患者疗效确切，能有效改善围术期指标，清除病灶，缓解疼痛，降低术后并发症及病情复发率，且患者满意度极高，对PCM临床治疗具有一定参考价值。 Abstract:ObjectiveTo investigate the clinical effect of ultrasound-based EnCor minimally invasive surgery on patients with plasma cell mastitis (PCM). MethodsA total of 120 PCM patients in our hospital from March 2017 to February 2019 were enrolled. They were divided into two groups according to the random number table methods, with 60 cases in each group. The open group received the open surgery, while the minimally invasive group received the EnCor minimally invasive surgery. The perioperative indexes, mass clearance rate, postoperative pain, complications, recurrence rate and satisfaction degree were compared between the two groups. ResultsThe operation time, wound healing time, scar length and intraoperative blood loss in the minimally invasive group were significantly lower than those in the open group (P < 0.05). The mass clearance rate in the minimally invasive group was significantly higher than that in the open group (96.00% vs 81.75%, P < 0.05).The difference in postoperative pain grading between the two groups was significant (P < 0.05). The incidence rates of postoperative breast deformity, total complications and postoperative recurrence rate in the minimally invasive group were significantly lower than those in the open group (0.00% vs 3.33%, 3.33% vs 23.33%, 6.67% vs 40.00%, P < 0.05). Satisfaction rate of the minimally invasive group was significantly higher than that of the open group (93.33% vs 70.33%, P < 0.05). ConclusionUltrasound-based EnCor minimally invasive surgery can effectively ameliorate the improve perioperative indicators, remove lesions, relieve pain, reduce postoperative complications and recurrence rate for PCM patients, which also obtains high satisfaction degree. -
Key words:
- plasma cell mastitis /
- EnCor minimally invasive surgery /
- clinical effect
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图 1 PCM超声学表现
A:囊肿超声学表现; B:实性肿块超声学表现; C:混合性肿块超声学表现; D:旋切刀插入病灶基底超声学表现.
Figure 1. Ultrasonic performance of PCM.
表 1 两组围术期指标比较
Table 1. Comparison of perioperative indexes between the two groups (n=60, Mean±SD)
组别 手术时间(min) 术中出血量(mL) 切口愈合时间(d) 瘢痕长度(cm) 微创组 16.25±2.63 3.45±1.85 3.17±1.07 2.34±0.71 开放组 38.17±3.54 13.06±3.07 9.67±2.94 6.16±3.19 t 38.501 20.768 16.093 9.054 P < 0.001 < 0.001 < 0.001 < 0.001 
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表 2 两组患者肿块切除情况比较
Table 2. Comparison of mass removal between the two groups (n=60)
组别 肿块数 肿块清除数 肿块残留数 清除率(%) χ2 P 微创组 125 120 5 96.00 13.087 < 0.001 开放组 137 112 25 81.75
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表 3 两组患者术后疼痛程度比较
Table 3. Comparison of postoperative pain between the two groups (n=60)
组别 0级 1级 2级 3级 微创组 44 16 0 0 开放组 23 22 14 1 χ2 23.590 P < 0.001
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表 4 两组术后并发症比较
Table 4. Comparison of postoperative complications between the two groups[n=60, n(%)]
组别 局部感染 皮肤瘀斑 皮下血肿 乳房畸形 总并发症发生率 微创组 0 (0.00) 1 (1.67) 1 (1.67) 0 (0.00) 2(3.33) 开放组 2 (3.33) 3 (5.00) 2 (3.33) 7 (11.67) 14(23.33) χ2 2.034 1.035 0.342 7.434 10.385 P 0.154 0.309 0.559 0.006 0.001
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表 5 两组患者术后复发、满意情况比较
Table 5. Comparison of postoperative recurrence and satisfaction between the two groups[n=60, n(%)]
组别 复发率 满意情况 很满意 满意 不满意 总满意度 微创组 4 (6.67) 45 (75.00) 11 (18.33) 4 (6.67) 56 (93.33) 开放组 24 (40.00) 27 (45.00) 15 (25.00) 18 (30.00) 42 (70.00) χ2 18.634 10.909 P < 0.001 0.001
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