腋部皮纹小切口潜行切除副乳腺的临床分析  

CLINICAL ANALYSIS OF ACCESSORY BREAST RESECTION WITH AXILLARY MINIDERMATOGLYPH INCISION

作　　者：曾江东 

机构地区：[1]开平市水口医院,广东开平529321

出　　处：《现代医院》2015年第5期57-59,共3页Modern Hospitals

摘　　要：目的观察腋部皮纹小切口潜行切除副乳腺的疗效。方法回顾性分析2010年4月~2014年6月47例副乳腺手术资料,根据手术方式不同分为两组,26例采用腋部皮纹小切口潜行切除术患者为观察组,21例实施常规腋下副乳腺切除术对照组,比较术后切口愈合情况及并发症发生率;所有患者术后均随访6个月,采用自行设计的视觉模拟效果调查表,由患者对外形、局部疼痛、上肢活动情况进行评价。结果两组单侧平均手术时间比较差异无统计学意义（p〉0.05）。观察组术中出血量少于对照组,切口平均长度短于对照组,平均住院天数少于对照组（p〈0.05）。随访6个月,观察组术后外形基本满意率95.15%,上肢活动度好和可达100%,局部无痛率95.15%,均高于对照组（p〈0.05）。结论腋部皮纹小切口潜行切除副乳腺疗效可靠,损伤小,局部瘢痕隐匿,对肢体活动无明显影响。Objective To study the curative effect of accessory breast resection with axillary minidermatoglyph incision. Methods The clinical data of 47 patients undergoing accessory breast operation in our hospital between April 2010 and June 2014 were retrospectively analyzed according to different methods of operation. They were divided into two groups： 26 cases with axillary minidermatoglyph incision as the observation group and 21 cases with conventional accessory breast resection as the control group. The postoperative wound healing and incidence of complications were then compared. All the patients were followed up for 6 months. Self- designed questionnaire of visual simulation effects were adopted and shape,local pain and upper extremity activities were evaluated by the patients.Results The two groups had no significant difference in the unilateral average operation time（ p 〉 0. 05）. The bleeding volume in the observation group was less than the control group,and the average length of the incision and the average hospital stay were significantly shorter than those of the control group（ p 〈 0. 05）. After 6 months of follow- up,the basic satisfaction rate of shape of patients in the observation group was 95. 15%,upper extremity activity reached 100%,and the rate of local painlessness was 95. 15%,both higher than the control group（ p 〈 0. 05）.Conclusion Accessory breast resection with axillary minidermatoglyph incision has the advantages of reliable curative effect,less damage,inconspicuous local scar and no significant effect on physical activity.

关 键 词：腋部皮纹小切口 潜行切除 副乳腺 疗效 

分 类 号：R737.9[医药卫生—肿瘤]