Comparison of clinical efficacy between ultrasound-guided vacuum assisted circumcision and traditional open surgery for the treatment of breast fibroma patients
Mo Peng
Yang Kaiyu
Liang Geyang
Huang Sensong
Zheng Bing
Abstract：Objective To explore the curative effect of ultrasound-guided vacuum-assisted excision on mammary fibroma and its influences on postoperative recovery time and sensory nerve function in areola region.Methods A total of 120 patients with breast fibroma admitted to the Thyroid and Breast Surgery Department of Yulin Red Cross Hospital from May 2020 to May 2022 were selected.According to random number table method,they were divided into observation group(n=60)and control group(n=60).All were examined and diagnosed with ultrasonic diagnostic apparatus.The control group was treated with traditional open surgery,while observation group was treated with ultrasound-guided vacuum-assis-ted excision.The surgical related indexes,focal excision rate,serum pain stress markers[neuropeptide Y(NPY),5-hydroxytryptamine(5-HT),prostaglandin(PGE2)],sensory nerve function in areola region,satisfaction with postoperative wound healing and postoperative complications were compared between the two groups.Results The incision length,oper-ation time and postoperative recovery time of the observation group were shorter than those of the control group,and the blood loss was less than that of the control group(t=38.366,10.435,7.207,20.539,all P＜0.001).There was no significant difference in success rate of focal resection between observation group and control group(96.67％vs.100％,x2=2.034,P＞0.05).The levels of NPY,5-HT and PGE2 in observation group were lower than those in control group 24 h after operation(t=4.325,3.787,4.619,all P＜0.001).At 1 week and 1 month after surgery,there was no significant difference in number of pa-tients with normal sensory nerve function,functional impairment and loss between the two groups(P＞0.05).One month af-ter operation,there was no significant difference in total satisfaction between the two groups(P＞0.05).The incidence of postoperative complications(pain of affected site,skin pruritus,incision pigmentation,lesion residual)in observation group was lower than that in control group(x2=4.615,P=0.032).Conclusion Ultrasound-guided vacuum-assisted excision can better shorten postoperative recovery time,reduce serum pain stress index,and reduce postoperative complications in pa-tients with mammary fibroma.
Keywords：Mammary fibromaUltrasound-guidedVacuum-assisted excisionTherapeutic effect
Publication Date：2024-07-18
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 846-849,855 )