| 黎颉妮,邹先明,陈燕红,等.超声引导下真空辅助微创旋切手术治疗乳腺良性肿瘤的并发症及其影响因素分析[J].安徽医药,2026,30(11):2271-2275. |
| 超声引导下真空辅助微创旋切手术治疗乳腺良性肿瘤的并发症及其影响因素分析 |
| Complications and influencing factors of ultrasound-guided vacuum-assisted minimally invasive rotary excision for benign breast tumors |
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| DOI：10.3969/j.issn.1009-6469.2026.11.028 |
| 中文关键词: 乳腺肿瘤 良性肿瘤 超声引导 真空辅助微创旋切 并发症 影响因素 |
| 英文关键词: Breast neoplasms Benign tumor Ultrasound guidance Vacuum-assisted minimally invasive rotary excision Com-plications Influencing factors |
| 基金项目:广东省基础与应用基础研究基金项目( 2022A1515110859) |
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| 中文摘要: |
| 目的探讨超声引导下真空辅助微创旋切手术治疗乳腺良性肿瘤的并发症类型、发生率，并分析其影响因素。方法前瞻性研究 2021年 1月至 2024年 12月在惠东县中医院及惠东县妇幼保健院接受超声引导下真空辅助微创旋切手术治疗的 600例乳腺良性肿瘤病人为研究对象，分析病人术后并发症发生情况，并根据术后是否出现并发症将其分为并发症组( n=33)和无并发症组( n=567)。收集两组病人的临床资料，采用单因素及多因素 logistic回归分析术后并发症的影响因素，建立受试者操作特征曲线(ROC曲线)分析各独立危险因素及其联合预测术后并发症的价值。结果 600例病人中，术后出现并发症 33例，发生率为 5.50%。其中，局部血肿 18例( 3.00%)，皮肤损伤 9例( 1.50%)局部凹陷 6例( 1.00%)。单因素分析显示，吸烟史、饮酒史、肿瘤位置、肿瘤长径、术中出血量、手术时间、切口愈合时间、加压包扎，情况与术后并发症有关(均 P<0.05)。多因素分析显示，肿瘤位置、肿瘤长径、术中出血量、手术时间、切口愈合时间均是乳腺良性肿瘤病人术后出现并发症的独立危险因素(均 P<0.05)。 ROC曲线显示，肿瘤位置、肿瘤长径、术中出血量、手术时间、切口愈合时间及指标联合均可预测乳腺良性肿瘤病人术后出现并发症，且指标联合的曲线下面积最高，达到 0.91，95%CI:(0.86，0.95)(均 P<0.05)。结论超声引导下真空辅助微创旋切手术治疗乳腺良性肿瘤并发症发生率较低，肿瘤位置、肿瘤长径、术中出血量、手术时间、切口愈合时间是独立危险因素，且多指标联合预测术后并发症价值较高。 |
| 英文摘要: |
| Objective To explore the types and incidence of complications associated with ultrasound-guided vacuum-assisted mini-mally invasive rotary excision for benign breast tumors, and to analyze the influencing factors.Methods A total of 600 patients with benign breast tumors who underwent ultrasound-guided vacuum-assisted minimally invasive rotary excision at Huidong County Hospi-tal of Traditional Chinese Medicine and Huidong County Maternal and Child Health Hospital from January 2021 to December 2024were selected as the prospective study. The incidence of postoperative complications was analyzed, and the patients were divided into acomplication group (n=33) and a non-complication group (n=567) based on whether postoperative complications occurred after surgery.Clinical data of the two groups were collected. Univariate and multivariate logistic regression analyses were performed to identify the in-fluencing factors for postoperative complications, and receiver operating characteristic (ROC) curves were established to assess the val-ue of each independent risk factor and their combination in predicting postoperative complications.Results Among the 600 patients,33 developed postoperative complications, with an incidence rate of 5.50%. These included 18 (3.00%) cases of local hematoma, 9(1.50%) cases of skin injury, and 6 (1.00%) cases of local depression. Univariate analysis results showed that smoking history, alcoholconsumption history, tumor location, tumor diameter, intraoperative blood loss, operative time, wound healing time, and compressivedressing were associated with postoperative complications (all P<0.05). Multivariate analysis identified tumor location, tumor diameter,intraoperative blood loss, operative time, and wound healing time as independent risk factors for postoperative complications in patientswith benign breast tumors (all P<0.05). ROC curve analysis demonstrated that tumor location, tumor diameter, intraoperative bloodloss, operative time, wound healing time, and their combination could all predict the occurrence of postoperative complications in pa-tients with benign breast tumors, with the combination of indicators showing the highest area under the curve (AUC) of 0.91 [95%CI: (0.86, 0.95), all P<0.05].Conclusions The incidence of complications is relatively low after ultrasound-guided vacuum-assisted mini-mally invasive rotary excision for benign breast tumors. Tumor location, tumor diameter, intraoperative blood loss, operatve time, andwound healing time are independent risk factors, and the combination of multiple indicators demonstrates high predictive value for post-operative complications. |
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