摘要
目的探讨乳晕旁单切口行乳腺多发良性肿块切除术的临床应用效果。方法选择2014年8月~2015年12月在我院治疗的乳腺多发良性肿瘤患者240例的临床资料进行回顾性分析。120例患者采用乳晕旁单切口术治疗为研究组,120例患者采用传统放射状切口术治疗为对照组,比较两组术中平均出血量、平均手术时间、切口长度、术后并发症、术后随访情况及患者满意度。结果两组平均出血量、平均手术时间比较差异无统计学意义（P〉0.05）;但研究组平均切口长度显著短于对照组,差异有统计学意义（P〈0.05）。研究组无液化及感染的病例,研究组总的并发症发生率低于对照组（χ2=4.156,P〈0.05）。随访结束,研究组切口愈合良好,瘢痕不明显,乳房外观正常,对照组部分患者瘢痕明显,乳房外观受到一定的影响。研究组患者的总体满意度显著高于对照组,差异有统计学意义（P〈0.05）。结论乳腺多发良性肿块采用乳晕旁单切口术治疗能够达到较好的美观效果,患者满意率较高,并且不增加手术难度,值得临床推广。
Objective To discuss the clinical value of periareola single incision for multiple benign breast tumor resection. Methods Clinical data of 240 cases with multiple benign breast tumor from Aug 2014 to Dec 2015 were respectively analyzed. 120 cases treated with periareola single incision were study group, and 120 cases treated with traditional radial incision were control group.Mean intraoperative blood loss, mean operation time, incision length, postoperative complications, postoperative follow-up and patient satisfaction rates of two groups were compared. Results Mean intraoperative blood loss and mean operative time of two groups showed no significant difference（P〈0.05）;Incision length of study group was shorter than control group（P〈0.05）. There was no case with liquefaction and infection in study group, and complication rate of study group was lower than control group（χ2=4.156,P〈0.05）.After following-up, incision in study group was well healed, scar was not obvious, and the appearance of the breast was normal, but, incision in some cases of control group was obvious, and breast appearance was by a certain impact. Overall satisfaction of study group was better than control group（P〈0.05）. Conclusion Periareola single incision treatment for multiple benign breast masses can achieve good aesthetic effect, with high patient satisfaction rate, worthy of clinical promotion.
出处
《中国医药科学》
2016年第14期179-181,216,共4页
China Medicine And Pharmacy
基金
广东省茂名市科技计划项目(2140331)
关键词
乳晕旁单切口
乳腺
多发良性肿块
切除术
Periareola single incision
Breast
Multiple benign tumor
Resection
