环乳晕切口乳腺纤维瘤手术效果分析  

Surgical effects of surround-mammary areola incision in mammary fibroma

作　　者：江家龙[1] 臧德源[1] JIANG Jialong;ZANG Deyuan(Pingnan County People's Hospital,Guangxi Zhuang Autonomous Region,Pingnan 537300,China)

机构地区：[1]广西壮族自治区平南县人民医院,广西平南537300

出　　处：《中国医药科学》2020年第8期241-243,共3页China Medicine And Pharmacy

摘　　要：目的探讨乳腺纤维瘤环乳晕切口手术效果。方法随机选取2016年8月~2019年8月我院乳腺纤维瘤患者1200例,随机分为环乳晕切口组(n=600)和非乳晕切口组(n=600)两组,统计分析两组患者的手术相关指标、术后手术瘢痕接受、乳房对称、哺乳情况、并发症发生情况、复发情况。结果环乳晕切口组患者的切口长度显著短于非乳晕切口组(P<0.05),术中出血量显著少于非乳晕切口组(P<0.05),术后手术瘢痕接受率、乳房对称率、哺乳率90.5%(543/600)、88.2%(529/600)、79.5%(477/600)均显著高于非乳晕切口组42.8%(257/600)、57.2%(343/600)、68.2%(409/600)(P<0.05),术后并发症发生率、复发率6.7%(40/600)、2.2%(13/600)均显著低于非乳晕切口组15.5%(93/600)、6.7%(40/600)(P<0.05)。结论乳腺纤维瘤环乳晕切口较非乳晕切口更能有效提升术后哺乳率、手术瘢痕接受率、乳房对称率,缩短患者切口长度,减少患者术中出血量,降低患者术后并发症发生率和复发率。Objective To investigate the effect of surround-mammary areola incision in mammary fibroma.Methods 1200 mammary fibroma patients treated in our hospital from August 2016 to August 2019 were randomly divided into two groups:the mammary areola incision group(n=600)and the non-mammary areola incision group(n=600).The surgery-related indicators,postoperative scar acceptance,breast symmetry,breastfeeding,complications,and recurrence were compared between the two groups.Results The incision length of mammary areola incision group was significantly shorter than that of the non-mammary areola incision group(P<0.05);The intraoperative bleeding was significantly less than that of the non-mammary areola incision group(P<0.05);The rate of scar acceptance,breast symmetry,and breastfeeding in the mammary areola group was 90.5%(543/600),88.2%(529/600),79.5%(477/600),respectively,which was significantly higher than that in the non-mammary areola incision group[42.8%(257/600),57.2%(343/600),68.2%(409/600)](P<0.05);The postoperative complication rate,and recurrence rate in the mammary areola group was 6.7%(40/600),2.2%(13/600)respectively,which was significantly lower than that in the non-mammary areola incision group[15.5%(93/600),6.7%(40/600)](P<0.05).Conclusion Compared with non-mammary areola incision,the surround-areola incision for mammary fibroma can effectively improve the breastfeeding rate,scar acceptance rate,breast symmetry rate,shorten the length of the incision,reduce the amount of intraoperative bleeding,and reduce the incidence of postoperative complications and recurrence rate.

关 键 词：环乳晕切口 乳腺纤维瘤 术后哺乳 乳房对称 

分 类 号：R737.9[医药卫生—肿瘤]