膨胀水分离技术在超声引导下乳腺良性肿瘤微创旋切手术中的应用效果及对血清炎性因子的影响OA

Objective:To analyze application of expansive water separation technique in ultrasound-guided minimally invasive rotary resection of benign breast tumor and its influences on serum inflammatory factors.Methods:A total of 492 patients with benign breast tumors undergoing ultrasound-guided minimally invasive rotary resection were enrolled.According to different local anesthesia methods,they were divided into traditional infiltration anesthesia group(n=234,traditional local infiltration anesthesia)and expansive water separation group(n=258,expansive water separation technique).The perioperative indexes(operation time,intraoperative blood loss,anesthesia time,length of hospital stay),scores of visual analogue scale(VAS),levels of serum interleukin(IL)-6,IL-10,C-reactive protein(CRP)and tumor necrosis factor-α(TNF-α)were compared between the two groups.The occurrence of complications and score of Vancouver scar scale(VSS)were recorded.Results:Compared with traditional infiltration anesthesia group,operation time was shorter(P＜0.05),intraoperative VAS score was lower(P＜0.05),and anesthesia time was longer in expansive water separation group(P＜0.05).At 3 d after surgery,levels of serum IL-6,IL-10,CRP and TNF-α in expansive water separation group were lower than those in traditional infiltration anesthesia group(P＜0.05).The incidence of complications in expansive water separation group was lower than that in traditional infiltration anesthesia group(P＜0.05).At 6 months after surgery,VSS scores in expansive water separation group were lower than those in traditional infiltration anesthesia group(P＜0.05).Conclusion:The application of expansive water separation technique in ultrasound-guided minimally invasive rotary resection of benign breast tumor can shorten operation time,relieve intraoperative pain,inhibit inflammatory response,improve breast aesthetics and reduce complications.