Objective:To evaluate the safety and effectiveness of vacuum-assisted excision for benign intraductal papilloma of breast.Methods:The databases including PubMed,Embase,Cochrane Library,WangFang,CNIK,VIP and Web of Sci...Objective:To evaluate the safety and effectiveness of vacuum-assisted excision for benign intraductal papilloma of breast.Methods:The databases including PubMed,Embase,Cochrane Library,WangFang,CNIK,VIP and Web of Science were searched by computer,according the inclusion and exclusion criteria after screening of literature.The Cochrane handbook and Newcastle-Ottawa scale was used to evaluate the studies.Then the Review Manager 5.3 software was to used analyze the data.Results:A total of 1016 patients was included in 9 articles.The amount of blood loss in vacuum-assisted surgery was less than that in open surgery[MD=-6.38,95%CI(-9.90,-2.86),P<0.05].The drainage[MD=-2.56,95%CI(-4.97,-0.15,P<0.05]and drainage time[MD=-0.25,95%CI(-0.40,-0.09),P<0.05]in vacuum-assisted surgery was less than that in open surgery.There were also few postoperative complications than that in open surgery[RR=0.43,95%CI(0.29,0.64),P<0.05].Compared with open surgery,the postoperative recurrence rate was lower in vacuum-assisted surgery[RR=0.26,95%CI(0.14,0.49),P<0.05].Last,there was no statistically significant difference in the operative time between vacuum-assisted surgery and open surgery,[SD=-12.82,95%CI(-25.70,0.06),P=0.05].Conclusion:Compared with open surgery,vacuum-assisted excision has the advantages of less blood loss and lower postoperative complications,but the operative time is not statistically significant compared with open surgery.In addition,compared with open surgery in this study,vacuum-assisted excision has the advantages of lower recurrence rate,but it still needs long-term dynamic observation.展开更多
目的:分析乳管镜在乳腺导管内乳头状瘤手术治疗中的应用价值。方法:回顾性分析2020年6月-2021年6月于扬州市妇幼保健院行手术治疗的80例乳腺导管内乳头状瘤患者的临床资料,依据手术方式的不同,将其中43例实施传统乳头状瘤病变区段切除...目的:分析乳管镜在乳腺导管内乳头状瘤手术治疗中的应用价值。方法:回顾性分析2020年6月-2021年6月于扬州市妇幼保健院行手术治疗的80例乳腺导管内乳头状瘤患者的临床资料,依据手术方式的不同,将其中43例实施传统乳头状瘤病变区段切除术治疗的患者纳入对照组,将37例实施乳管镜定位下乳腺导管内乳头状瘤切除术治疗的患者纳入观察组。比较两组围手术期指标(手术时间、切口长度、切除标本质量、切除标本直径);比较两组治疗总费用及术前、术后12、24 h疼痛程度[采用视觉模拟评分法(VAS)评估];比较随访6个月期间,两组并发症发生情况。结果:与对照组比较,观察组切口长度、切除标本直径均更短,切除标本质量更小(P<0.05);与对照组比较,观察组术后12、24 h VAS评分均更低(P<0.05);两组手术时间、治疗总费用比较,差异均无统计学意义(P>0.05);与对照组比较,观察组并发症发生率更低(P<0.05)。结论:将乳管镜应用于乳腺导管内乳头状瘤切除术中,可明显缩小手术范围,缓解术后疼痛,降低术后并发症发生率。展开更多
目的:探讨超声造影对导管内乳头状瘤的诊断价值。方法:回顾性分析51例均经手术病理证实的导管内乳头状瘤患者的62个病灶彩色多普勒超声声像图及超声造影的特征。结果:乳腺导管内乳头状瘤的超声造影多表现为高增强、造影剂分布均匀、增...目的:探讨超声造影对导管内乳头状瘤的诊断价值。方法:回顾性分析51例均经手术病理证实的导管内乳头状瘤患者的62个病灶彩色多普勒超声声像图及超声造影的特征。结果:乳腺导管内乳头状瘤的超声造影多表现为高增强、造影剂分布均匀、增强后形态规则、边缘清晰。61个(98.4%,61/62)病灶超声造影后呈高增强,46个(74.2%,46/62)病灶超声造影后有清晰的边缘,33个(53.2%,33/62)病灶造影后增强范围较二维超声图像范围无明显变化。乳腺导管内乳头状瘤病灶超声造影上升时间(rise time,RT)、峰值强度(peak intensity,PI)、曲线下面积(area under the curve,AUC)和达峰时间(time to peak,TTP)与周围腺体比较差异均有统计学意义(P<0.05)。结论:导管内乳头状瘤的彩色多普勒超声图像及超声造影表现有一定特异性,两者结合有助于提高其病灶的检出率及诊断准确性。展开更多
基金This study was supported by Key R&D Program of Hainan Province(No.ZDYF2017087)In-Hospital Project of the Second Affiliated Hospital of Hainan Medical University[The Second Affiliated Hospital of Haiyi Medical University(No.2018-11)]。
文摘Objective:To evaluate the safety and effectiveness of vacuum-assisted excision for benign intraductal papilloma of breast.Methods:The databases including PubMed,Embase,Cochrane Library,WangFang,CNIK,VIP and Web of Science were searched by computer,according the inclusion and exclusion criteria after screening of literature.The Cochrane handbook and Newcastle-Ottawa scale was used to evaluate the studies.Then the Review Manager 5.3 software was to used analyze the data.Results:A total of 1016 patients was included in 9 articles.The amount of blood loss in vacuum-assisted surgery was less than that in open surgery[MD=-6.38,95%CI(-9.90,-2.86),P<0.05].The drainage[MD=-2.56,95%CI(-4.97,-0.15,P<0.05]and drainage time[MD=-0.25,95%CI(-0.40,-0.09),P<0.05]in vacuum-assisted surgery was less than that in open surgery.There were also few postoperative complications than that in open surgery[RR=0.43,95%CI(0.29,0.64),P<0.05].Compared with open surgery,the postoperative recurrence rate was lower in vacuum-assisted surgery[RR=0.26,95%CI(0.14,0.49),P<0.05].Last,there was no statistically significant difference in the operative time between vacuum-assisted surgery and open surgery,[SD=-12.82,95%CI(-25.70,0.06),P=0.05].Conclusion:Compared with open surgery,vacuum-assisted excision has the advantages of less blood loss and lower postoperative complications,but the operative time is not statistically significant compared with open surgery.In addition,compared with open surgery in this study,vacuum-assisted excision has the advantages of lower recurrence rate,but it still needs long-term dynamic observation.
文摘目的:分析乳管镜在乳腺导管内乳头状瘤手术治疗中的应用价值。方法:回顾性分析2020年6月-2021年6月于扬州市妇幼保健院行手术治疗的80例乳腺导管内乳头状瘤患者的临床资料,依据手术方式的不同,将其中43例实施传统乳头状瘤病变区段切除术治疗的患者纳入对照组,将37例实施乳管镜定位下乳腺导管内乳头状瘤切除术治疗的患者纳入观察组。比较两组围手术期指标(手术时间、切口长度、切除标本质量、切除标本直径);比较两组治疗总费用及术前、术后12、24 h疼痛程度[采用视觉模拟评分法(VAS)评估];比较随访6个月期间,两组并发症发生情况。结果:与对照组比较,观察组切口长度、切除标本直径均更短,切除标本质量更小(P<0.05);与对照组比较,观察组术后12、24 h VAS评分均更低(P<0.05);两组手术时间、治疗总费用比较,差异均无统计学意义(P>0.05);与对照组比较,观察组并发症发生率更低(P<0.05)。结论:将乳管镜应用于乳腺导管内乳头状瘤切除术中,可明显缩小手术范围,缓解术后疼痛,降低术后并发症发生率。
文摘目的:探讨超声造影对导管内乳头状瘤的诊断价值。方法:回顾性分析51例均经手术病理证实的导管内乳头状瘤患者的62个病灶彩色多普勒超声声像图及超声造影的特征。结果:乳腺导管内乳头状瘤的超声造影多表现为高增强、造影剂分布均匀、增强后形态规则、边缘清晰。61个(98.4%,61/62)病灶超声造影后呈高增强,46个(74.2%,46/62)病灶超声造影后有清晰的边缘,33个(53.2%,33/62)病灶造影后增强范围较二维超声图像范围无明显变化。乳腺导管内乳头状瘤病灶超声造影上升时间(rise time,RT)、峰值强度(peak intensity,PI)、曲线下面积(area under the curve,AUC)和达峰时间(time to peak,TTP)与周围腺体比较差异均有统计学意义(P<0.05)。结论:导管内乳头状瘤的彩色多普勒超声图像及超声造影表现有一定特异性,两者结合有助于提高其病灶的检出率及诊断准确性。
