Comparison of the clinical efficacy of mammotome minimally invasive biopsy and conventional breast tumor resection for benign breast tumor

Abstract

Objective To explore the treatment effect and application value of ultrasonic guided mammotome minimally invasive whirling surgery and open surgery for benign breast tumor. Methods 264 patients with benign breast diseases were randomly divided into observation group and control group, 132 cases in each group.The control group took open surgery, the observation group used mammotome minimally invasive surgery, rotary cutting system.Recorded clinical surgery treatment of the two groups. Results The operating time, intraoperative blood loss, operation scar size of the observation group were (18.27±3.05)min, (10.86±1.69)mL, (2.76±0.85)mm respectively, those of the control group were (53.48±6.17)min, (97.54±14.28)mL, (27.63±4.31)mm respectively, the differences between the two groups were statistically significant(t=58.7753, 69.2560, 65.0429, all P<0.05). In the observation group, breast deformation in 0 case, postoperative occurrence skin pigmentation in 1 case, itchy skin in 2 cases, with lateral swelling in 1 case, the patients′ satisfaction score was (93.42±3.89)points.In the control group, breast deformation in 5 cases, postoperative occurrence skin pigmentation in 8 cases, skin itching in 9 cases, lateral swelling in 7 cases, the patients′ satisfaction score was (88.16±1.45)points, the differences between the two groups were statistically significant(χ2=5.096, 5.636, 4.648, 4.604, t=14.557, all P<0.05). Conclusion Using ultrasonic guided mammotome minimally invasive rotary surgical treatment for benign breast diseases can shorten the operation time, reduce intraoperative bleeding, reduce the incidence of postoperative complications, patients' satisfaction is higher, and it is worthy of popularization and application in clinic. Key words: Breast neoplasms; Surgical procedures, Minimally invasive; Ultrasonography