阳和汤联合超声引导下麦默通微创旋切术治疗乳腺良性肿块临床观察
2018,50(2):69-72
摘要：目的：观察阳和汤联合超声引导下麦默通微创旋切术治疗乳腺良性肿块的临床疗效及其安全性。方法：选取乳腺良性肿块患者329例。根据不同治疗方法将所有患者分为对照组172例及研究组157例。对照组采用常规手术治疗，研究组采用麦默通旋切术联合阳和汤治疗，比较2组临床疗效、患者满意度、疼痛视觉模拟评分量表（VAS）评分及安全性。结果：研究组术中出血量少于对照组，手术时间短于对照组，术后第1天疼痛VAS评分高于对照组，满意度评分高于对照组，2组间比较，差异均有统计学意义（P＜0.05）。研究组患者乳房形态改变、乳房内血肿等并发症发生率分别与对照组比较，差异均有统计学意义（P＜0.05）；切口感染、皮下瘀斑等并发症发生率分别与对照组比较，差异均无统计学意义（P＞0.05）。结论：乳腺良性肿块治疗中应用阳和汤联合超声引导下麦默通微创旋切术，具有临床效果较好，患者满意度较高，术后疼痛少，乳房形态改变少等优点。
关键词：乳腺良性肿块；阳和汤；麦默通微创旋切术；术中出血量；手术时间；疼痛视觉模拟评分量表；乳房形态改变；乳房内血肿
Clinical Observation of Yanghe Tang Combined with Ultrasound-Guided Mammotome Minimally Invasive Surgery for Benign Breast Mass
Abstract：ObjectiveTo observe the clinical effect and safety of Yanghe tang combined with ultrasound-guided Mammotome minimally invasive surgery for benign breast mass.MethodsSelected 329 cases of patients with benign breast mass，and divided them into the control group(172 cases)and the research group(157 cases)according to different treatment.The control group
receivedconventional operative treatment，while the research group was given Mammotome minimally invasive surgery combined with Yanghe tang.Compared the scores of clinical effect，satisfaction of patients，visual analogue scales(VAS)of pain and its safety between the two groups.ResultsIn the research group，the amount of intraoperative blood loss was less than that in the control group，the operation time was shorter than that in the control group，VAS scores were higher than those in the control group on the first day after operation，and satisfaction scores were higher than those in the control group，differences all being significant(P＜0.05).The respective comparisons of the incidence of mammary morphological changes，intramammary hematoma and other complications between the two groups showed significance in differences(P＜0.05).There was no significant difference being found in the incidence of incision infection，subcutaneous ecehymosis and other complications when compared to those in the control group(P ＞ 0.05).Conclusions：The therapy of Yanghe tang combined with ultrasound-guided Mammotome minimally invasive surgery for benign breast mass has good clinical effect.It has such advantages as higher satisfaction of patients，less postoperative pain，and less changes of breast shape.
Key words：Benign breast mass；Yanghe tang； Mammotome minimally invasive surgery； Intraoperative blood loss；Operation time；Visual analogue scales of pain；Mammary morphological changes；Intramammary hematoma
收稿日期：
基金项目：
