乳房下皱襞切口入路配合高负压引流系统治疗巨大纤维腺瘤  

Application of Submammary Fold Incision and Vacuum High Negative Pressure Drainage in the Treatment of Giant Breast Fibroadenoma

作　　者：马德奎[1] 黄擎雄[1] 冯平[1] 李春梅[1] 

机构地区：[1]广东省肇庆市第一人民医院普通外科,肇庆526021

出　　处：《中国现代手术学杂志》2012年第4期272-273,共2页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨乳房下皱襞切口入路配合高负压引流系统治疗巨大乳腺纤维腺瘤的价值。方法巨大纤维腺瘤患者16例,均采用乳房下皱襞切口入路切除肿瘤,乳房后间隙置高负压引流系统。肿瘤大小(5 cm×5 cm×4.5 cm)～(15 cm×10 cm×9 cm)。结果本组16例均顺利完成手术,痊愈出院。术后病理均为乳腺青春期纤维腺瘤,术后随访3个月～1年,切口美观、手术切口瘢痕不明显,具有隐蔽性。结论乳房下皱襞切口设计简单,部位隐蔽,显露充分,美容效果好;配合高负压引流系统行乳房后间隙引流,避免了术后胸壁加压包扎,改善了术后患者的生活质量,值得推广。Objective To investigate the value of submammary fold incision approach and vacuum high negative pressure drainage for the treatment of huge breast fibroadenoma. Methods 16 cases suffered breast fibroadenoma were performed surgical treatment via submammary fold incision and placed high negative pressure drainage in retromammary space. The size of mass ranged from 5cm x 5cm x 4.5cm to 15cm x 10era x 9cm. Restilts All operations were accomplished successfully and recovered fully. The pathologic exam reported breast fibroadenoma in all 16 cases. After 3 months to one year follow-up, good cosmetic result was achieved in all cases with inconspicuous surgical scars. Conclusion The approach of submanamary fold incision has advantages as simple operating, sufficient exposure and good cosmetic effect; the application of vacuum high negative pressure drainage can improve the quality of life in the post-operative period clearly; which is worth popularizing.

关 键 词：纤维腺瘤 乳腺肿瘤 引流术 切口 

分 类 号：R737.9[医药卫生—肿瘤]