乳晕弧形切口和乳房放射状切口切除乳腺纤维瘤的疗效比较研究  

Comparasion study of clinical effect of areola arc incision and breast radial incision on the treatment of breast fibroma

作　　者：唐巍[1] 龙梅[2] 文桂琼[3] TANG Wei LONG Mei WEN Guiqiong(Breast Surgery, Affiliated Hospital of Guilin Medical University, Guiliag 541000, China Radiology Department, Affiliated Hospital of Guilin Medical Uni- versity, Gulling 541000, China Ultrasonography Department, Affiliated Hospital of Guilin Medical Universi- ty, Guiling 541000, China)

机构地区：[1]桂林医学院附属医院乳腺外科,广西桂林541000 [2]桂林医学院附属医院放射科,广西桂林541000 [3]桂林医学院附属医院超声科,广西桂林541000

出　　处：《中国肿瘤外科杂志》2017年第3期191-192,196,共3页Chinese Journal of Surgical Oncology

摘　　要：目的探讨经乳晕弧形切口和乳房放射状切口切除乳腺纤维瘤的疗效。方法选取2014年5月至2015年5月在桂林医学院附属医院接受治疗的乳腺纤维腺瘤患者80例,按随机数字表法平均分为乳晕弧形切口组,以及乳房放射状切口组。比较两组患者的术中出血量、手术时间、术后并发症发生率,以及两组患者手术前后的匹兹堡睡眠质量指数(PSQI)和抑郁自评量表评分(SDS)。结果乳晕弧形切口组术中出血量小于乳房放射状切口组,差异有统计学意义(P<0.05);两种治疗方式的手术时间没有明显差别(P>0.05);两组并发症发生率差异无统计学意义(P>0.05);手术前两组患者的PSQI和SDS评分差异无统计学意义(P>0.05),但乳晕弧形切口组的术后PSQI和SDS评分低于乳房放射状切口组,差异有统计学意义(P<0.05)。结论经乳晕弧形切口切除乳腺纤维腺瘤疗效确切,能减少术中出血量,使患者获得较好的美容效果。Objective To explore the therapeutic effect of surgical excision with areola arc incision or breast radial incision in treating mammary fibroma. Methods A total of 80 patients with breast fibroadenoma who received treatment in our hospital from May 2014 to May 2015 were enrolled in this study. According to the random number table method, the patients were randomly divided into two groups, including the areola arc inci- sion group and the breast radial incision group. Intraoperative blood loss, operative time, the rate of postopera- tive complications, Pittsburgh Sleep Quality index （PSQI） before and after surgery, and Self Depression Scale （SDS） were compared in the two groups. Results The intraoperative blood loss of the areolar arc incision group was less than that of the breast radial incision group, and the difference was statistically significant （ P 〈 0.05 ）. No significant differences were found in operation time of the two treatment methods. The rates of post- operative complications of the two groups had no significant differences （ P 〉 0.05 ）. The PSQI and SDS scores before surgery showed no significant differences （ P 〉 0. 05 ）. The postoperative PSQI and SDS score of the areo- la arc incision group was lower than that of the radial incision group, and the difference was statistically signifi- cant （P 〈 0. 05 ）. Conclusions The treatment effect of areola arc incision resection surgery in the patients with breast fibrous tumor is exact. It can reduce the amount of bleeding during operation, and improve the symptoms of patients. Thus. it is worth a wide application.

关 键 词：乳房 纤维瘤 外科手术 乳晕弧形切口术 乳房放射状切口术 

分 类 号：R737.9[医药卫生—肿瘤]