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目的:探讨局部肿胀麻醉技术在乳腺多发实性肿块Mammotome微创旋切术中的临床应用效果。方法:随机选择2010年6月—2012年7月98例施行乳腺多发实性肿块Mammotome微创旋切术患者,其中49例行传统局部浸润麻醉(对照组),另49例行局部肿胀麻醉(观察组);对比两组患者的主要临床指标。结果:两组患者在年龄、肿块直径及肿块个数上的差异无统计学意义(均P>0.05)。与对照组比较,观察组平均麻醉实施时间缩短(16.10 min vs.31.41 min)、手术时间减少(39.47 min vs.62.53 min)、麻醉剂降低(0.20 mg vs.0.31 mg)、麻醉效果良好率增高(96%vs.82%)、麻醉不良反应发生率低(0%vs.12%)、手术并发症发生率低(4%vs.18%),差异均有统计学意义(均P<0.05)。结论:在乳腺多发实性肿块Mammotome微创旋切术中应用局部肿胀麻醉技术安全有效,临床效果显著,值得推荐使用。
Objective: To investigate the clinical application of local tumescent anesthesia in Mammotome minimally invasive polypectomy of multiple breast masses. Methods: A total of 98 patients undergoing Mammotome minimally invasive polypectomy for multiple breast masses were selected from June 2010 to July 2012. Of them, 49 patients underwent traditional local anesthesia (control group) and 49 patients underwent local swelling anesthesia Observation group); compared the two groups of patients with the main clinical indicators. Results: There was no significant difference in age, tumor diameter and mass between the two groups (all P> 0.05). Compared with the control group, the average anesthesia time in the observation group was shortened (16.10 min vs.31.41 min), the operation time was reduced (39.47 min vs.62.53 min), the anesthetic agent was decreased (0.20 mg vs.0.31 mg), and the good anesthetic effect rate was increased 96% vs.82%), the incidence of adverse reactions in anesthesia was low (0% vs.12%) and the incidence of complications was low (4% vs.18.18%) (all P <0.05) . Conclusion: It is safe and effective to use local tumescent anesthesia in Mammotome Minimally Invasive Revascularization in multiple solid masses of breast. The clinical effect is significant and it is worth recommending.