放射状切口与环乳晕切口乳腺纤维瘤切除术的临床效果比较  

Clinical Analysis of Different Surgical Incisions in the Treatment of Breast Fibroma

作　　者：方谭玮[1] 俸瑞发[1] 

机构地区：[1]桂林医学院第二附属医院乳腺外科,广西桂林541100

出　　处：《医学临床研究》2017年第1期49-50,53,共3页Journal of Clinical Research

摘　　要：【目的】比较放射状切口与环乳晕切口乳腺纤维瘤切除术的临床效果。【方法】选择2015年1月至2016年1月本院收治的320例乳腺纤维瘤患者，将其随机分为对照组和观察组，每组各160例。对照组采用放射状切口，观察组采用环乳晕切口。比较两组患者的手术时间、术中出血量、术后并发症发生情况。【结果】对照组术后总有效率为80．0％，观察组为100．0％，两组比较差异具有统计学意义（P〈0．05）。对照组手术时间为（43．16±3．08）rain，术中出血量为（125．83±7．42）mL；观察组患者手术时间为（20．84±2．67）min，术中出血量为（6．27±1．46）mL，两组比较差异具有统计学意义（P〈0．05）。对照组术后并发症发生率为11．9％（19／160）显著高于观察组的3．75％（6／160），差异具有统计学意义（P〈0．05）。【结论】环乳晕切口乳腺纤维瘤切除术临床效果较好，能够降低患者手术时间、术中出血量，可有效减少术后并发症。[ Objective ] To explore the therapeutic effect of different surgical incisions for breast fibroma. [ Methods] A total of 320 patients with breast fibroma were enrolled in our hospital from January 2015 to January 2016. The patients were divided into control group and study group according to the random number method. The former was treated with radial incision, The operation time, bleeding volume and postoperative complication rate were compared between the two groups. [ Results] The total effective rate was 80.0% in the control group and 100.0% in the study group, the difference was statistically significant（ P 〈0.05）. The operation time was （43.16 ±3.08） min in the control group and the intraoperative blood loss was （125.83 ± 7.42）mL. Operative time was （20.84±2.67 ） min and the blood loss was （6.27 ± 1.46） ml in study group, the difference was statistically significant （ P 〈 0.05 ）. The complication rate was 11.9% in the control group and 3.75% in the study group, the difference was statistically significant （ P 〈0.05 ）. [ Conclusion] The operation of ring-areola incision in the treatment of breast fibroma is better. It can reduce the operation time, blood loss, improve the clinical curative effect and reduce the complication. It is suitable for clinical application.

关 键 词：乳腺肿瘤/外科学 纤维瘤/外科学 手术后并发症 随机对照试验 

分 类 号：R737.9[医药卫生—肿瘤]