Effect Of Minimally Invasive Rotary Resection Under Ultrasound Guidance On Breast Fibroma

ObjectiveTo explore the effect of minimally invasive rotary resection under ultrasound guidance on single benign breast fibroma.MethodsA retrospective analysis of 102 patients with single benign breast fibroma who were treated in our hospital from June 2017 to October 2018 was divided into observation group52 cases and control group 50 according to their surgical methods.The observation group was under ultrasound guidance Minimally invasive rotary resection.The control group was treated with conventional open resection.Research indicators: comparison of surgical time,bleeding volume,incision healing time,length of incision,length of hospital stay,and scar length in the two groups;comparison of incision infection,breast deformation,hematoma,and local breast ecchymosis in the two groups The incidence of complications,and the total incidence of complications was calculated;the patient's satisfaction was evaluated using an improved satisfaction evaluation form,and the postoperative satisfaction was compared between the two groups of patients to calculate the total satisfaction rate;the reconstructed breast aesthetic evaluation criteria were used(Harris)Evaluate and compare the postoperative cosmetic effect of two groups of patients,and calculate the excellent and good rate of cosmetic effect.The t-test for measurement data,the ?2 test for count data,or Fisher's exact probability method.P <0.05 was considered statistically significant.Results1.Comparison of surgical conditions: The operation time of the observation group was(14.82 ± 3.56)min,the incision length was(4.76 ± 0.56)mm,the scar length was(2.16 ± 0.64)mm,the bleeding volume was(10.96 ± 4.12)ml,and the incision healingtime was(3.44 ± 0.72)days and hospital stay were(3.69 ± 0.74)days.In the control group,the operation time was(31.47 ± 2.56)min,the incision length was(25.93 ± 3.26)mm,the scar length was(18.38 ± 1.67)mm,the bleeding volume was(72.86 ± 5.47)ml,and the incision healing time was(8.17 ± 1.03 days and hospital stay were(9.03 ± 1.24)days.There was a statistical difference in surgical data between the two groups of patients(P<0.05).2.Comparison of postoperative complications: There were 3 postoperative complications(5.77%)in the observation group,including 1 case of incision infection(1.92%),2 cases of breast deformation(3.85%),and 0 cases of local breast ecchymosis.(0.00%).A total of 10 cases(20.00%)of postoperative complications occurred in the control group,including 2 cases of incision infection(4.00%),4 cases of breast deformation(8.00%),1 case of hematoma(2.00%),and 3 cases of local breast ecchymosis(6.00 %).The comparison of the total incidence of postoperative complications between the two groups of patients was statistically significant(P<0.05).3.Comparison of postoperative satisfaction: The total number of postoperative satisfaction patients in the observation group was 50,accounting for 96.15%,of which 36 patients were very satisfied(69.23%),14 patients were generally satisfied(26.92%),and 2patients were not satisfied(3.85%).The total number of satisfied patients in the control group was 42 cases,accounting for 84.00%,of which 28 were very satisfied(56.00%),14 were generally satisfied(28.00%),and 8 were unsatisfied(16.00%).The total satisfaction rate of the two groups of patients after surgery was statistically significant(P <0.05).4.Comparison of postoperative cosmetic results: The total number of excellent postoperative cosmetic results in the observation group was 49 cases,accounting for94.23%,of which 41 cases were excellent(82.00%),8 cases were good(15.38%),and 3cases were poor(5.77%).The total number of excellent postoperative cosmetic results in the control group was 40 cases,accounting for 80.00%,of which 31 cases were excellent(62.00%),9 cases were good(18.00%),and 10 cases were poor(20.00%).The data of totalsatisfaction rate of postoperative cosmetic effect between the two groups of patients was statistically significant(P <0.05).ConclusionUltrasound-guided minimally invasive rotary resection for the treatment of single benign breast fibroma with small volume is easy to operate,has less trauma,quick recovery,and fewer postoperative complications.In clinical application.