中国现代医学杂志2026，Vol.36Issue(4)：7-12,6.DOI:10.3969/j.issn.1005-8982.2026.04.002
真空辅助乳腺旋切术与常规开放切除术治疗乳腺良性肿物的围手术期指标对比研究
Comparative study on perioperative outcomes of vacuum-assisted breast biopsy versus conventional open excision for benign breast tumors
摘要
Abstract
Objective To compare the perioperative clinical outcomes of vacuum-assisted breast biopsy(VABB)and conventional open excision for benign breast tumors.Methods A retrospective analysis was conducted on 222 patients with benign breast tumors treated at Ma'anshan People's Hospital from January 2022 to January 2025.Based on surgical approach,patients were divided into an observation group(n=122,VABB)and a control group(n=100,open excision).Perioperative parameters,wound characteristics,recovery outcomes,cosmetic results,inflammatory stress markers,pain levels,and postoperative complications were compared between the two groups.Results The observation group had a shorter operative duration and less intraoperative blood loss than the control group(P<0.05).Incision length,wound healing time,and postoperative length of hospital stay were all shorter in the observation group(P<0.05).No significant difference was found in the rate of residual tumor between the two groups(P>0.05).The scores for vascular distribution,pigmentation,thickness,and softness were all lower in the observation group(P<0.05).Postoperative PCT,CRP,NE,and Cor levels were lower in the observation group compared with the control group(P<0.05),and their differences before and after surgery were also smaller in the observation group(P<0.05).The NRS scores at postoperative days 1,3,and 5 under resting conditions were compared between the two groups using repeated-measures analysis of variance.The results demonstrated that NRS scores differed significantly across different time points(P<0.05),and that there was a significant difference in NRS scores between the two groups(P<0.05),with the observation group showing lower scores and better analgesic effects.The change trends of NRS scores over time also differed significantly between the two groups(P<0.05).The incidence of postoperative complications was lower in the observation group(P<0.05).Conclusion VABB provides comparable tumor resection efficacy while offering the advantages of minimal trauma,faster recovery,better cosmetic results,and fewer complications.It represents an optimal minimally invasive surgical option for patients with benign breast tumors.关键词
乳腺良性肿物/真空辅助旋切术/开放切除术/围手术期指标/微创治疗Key words
benign breast tumor/vacuum-assisted breast biopsy/open excision/perioperative outcomes/minimally invasive surgery分类
医药卫生引用本文复制引用
邢金琳,袁育韬..真空辅助乳腺旋切术与常规开放切除术治疗乳腺良性肿物的围手术期指标对比研究[J].中国现代医学杂志,2026,36(4):7-12,6.基金项目
安徽省自然科学基金(No:2220085MH251) （No:2220085MH251）
