Analysis of postoperative hematoma formation factors after ultrasound-guided minimally invasive surgery for benign breast massesY
10.3877/cma.j.issn.1672-6448.2017.09.016
- VernacularTitle:超声引导下乳腺良性肿块旋切治疗术后血肿形成因素分析
- Author:
Chun YAO
1
;
Mingkui LI
;
Dong XU
;
Weiping CHEN
;
Rongrong RU
;
Chengzhong PENG
Author Information
1. 310007,杭州市中医院超声科
- Keywords:
Ultrasonography,interventional;
Breast neoplasms;
Radical resection of breast masses;
Hematoma;
Risk factors
- From:
Chinese Journal of Medical Ultrasound (Electronic Edition)
2017;14(9):711-715
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the influencing factors of hematoma complicated from ultrasound-guided minimally invasive surgery for benign breast masses.Methods Retrospective analysis was performed in 412 patients with a total of 516 masses underwent the ultrasound-guided minimally invasive surgery for benign breast masses from January 2011 to December 2015 in Xiaoshan Hospital. Theχ2 test was used to univariately analyze risk factors of hematoma formation after ultrasound-guided minimally invasive surgery for benign breast masses. Logistic regression analysis was used to multivariately analyze risk factors of hematoma formation.Results All masses were resected completely, however, hematomas with long diameter≥1.0 cm were formed in 43 masses one week after surgery, and all hematomas were completely absorbed after six months. There were significant differences in the incidence of hematoma between the groups of different needle sizes, numbers of needle cutting, masses sizes, blood flow grades, depth, resection numbers and effective compression time of postoperative bandages (χ2=16.917, 14.548, 39.971, 23.333, 29.137, 36.819 and 39.864, respectively, allP<0.001). The needle sizes, the numbers of needle cutting, the masses sizes, blood flow grades, depth, resection numbers and the effective compression time constituted the risk factors of hematoma formation after the minimally invasive surgery.Conclusions The risk factors of the hematoma formation after ultrasound-guided minimally invasive surgery for benign breast masses included the different size of the needle, the number of different cutting needles, different size of the masses, the grade of blood flow, the number of resection and the different effective compression time of postoperative bandages. We could prevent the occurrence of hematoma in advance by screening patients and take corresponding measures.
