经乳晕缘切口与传统手术治疗乳腺良性肿瘤近期疗效  

Recent curative effects of periareolar incision and traditional surgical treatment on benign breast tumor

作　　者：赵全平 

机构地区：[1]山西省襄汾县人民医院普外科,041500

出　　处：《中国实用医刊》2017年第17期63-65,共3页Chinese Journal of Practical Medicine

摘　　要：目的 探讨经乳晕缘切口与传统手术治疗乳腺良性肿瘤的近期疗效。 方法 选取84例乳腺良性肿瘤患者，通过随机数字表法分为研究组与对照组，每组42例。研究组采用经乳晕缘切口术式治疗，对照组采用传统手术治疗。统计对比两组手术情况、乳房表面美观程度（色素沉着、切口瘢痕、乳房形状、乳头乳晕感觉）及并发症发生率、乳房美观效果满意度。 结果 研究组手术用时、术中失血量与对照组比较差异未见统计学意义（P〉0.05）；研究组切口愈合时间少于对照组，差异有统计学意义（P〈0.05）；研究组色素沉着、切口瘢痕、乳房形状、乳头乳晕感觉评分均高于对照组，差异有统计学意义（P〈0.05）；研究组并发症发生率（7.14%）低于对照组（23.80%），差异有统计学意义（P〈0.05）；研究组乳房美观效果满意度（95.24%）高于对照组（78.57%），差异有统计学意义（P〈0.05）。 结论 采用经乳晕缘切口治疗乳腺良性肿瘤效果优于传统手术，可减少切口愈合时间，提高乳房表面美观程度，降低并发症发生率，安全性较高，具有推广价值。Objective To investigate the curative effects of periareolar incision and traditional surgical treatment on benign breast tumor. Methods Eighty-four patients with benign breast tumor were divided into study group and control group by random number table method, with 42 cases in each group. Patients in the study group were treated by periareolar incision treatment, and patients in the control group were treated by traditional operation. The surgery, breast surface appearance （ degree of pigmenta- tion, scar, breast shape, nipple and areola） and the incidence of complications, satisfaction with breast appearance between the two groups were compared. Results There was no significant difference in the operation time or blood loss between the two groups （P 〉 0.05 ）. The incision healing time in the study group was less than that in the control group, the difference was significant （P 〈 0. 05 ）. The scores of pigmentation, scar, breast shape, nipple and areola were higher in the study group than those in the con- trol group, the differences were significant （P 〈 0. 05 ）. The incidence of complications in the study group （7. 14% ） was lower than that in the control group （23.80%）, and the difference was significant （P 〈0. 05）. The satisfaction degree in the study group （95.24%） was higher than that in the control group （78.57%）, and the difference was significant （ P 〈 0. 05 ）. Conclusions The periareolar inci- sion treatment of benign breast tumor is better than traditional surgery, which can reduce the wound heal- ing time and hospitalization time, improve breast surface appearance degree, reduce the incidence of complications with high safety, and is worth of popularization.

关 键 词：经乳晕缘切口 传统手术 乳腺良性肿瘤 

分 类 号：R737.9[医药卫生—肿瘤]