放射状切口与乳晕缘小切口切除术治疗乳腺良性肿瘤的对比  

Comparison of Radial Incision and Small Areola Marginal Incision in the Treatment of Benign Breast Tumors

作　　者：张立光[1] ZHANG Liguang(The First Department of Surgery,Peixian Hospital of Traditional Chinese Medicine,Xuzhou,Jiangsu Province,221600 China)

机构地区：[1]沛县中医院外一科,江苏徐州221600

出　　处：《系统医学》2021年第20期120-124,共5页Systems Medicine

摘　　要：目的对比分析乳腺良性肿瘤患者行传统放射状切口或乳晕缘小切口切除术治疗的效果及临床价值。方法选择2015年2月-2021年3月该院收诊治疗的乳腺良性肿瘤患者81例为研究对象,根据治疗方式不同进行分组,对照组(39例)患者采取传统放射状切口切除术治疗,观察组(42例)实施乳晕缘小切口切除术,记录对比两组患者临床手术指标,观察对比两组患者切口愈合等级,评估分析各组患者术后乳房美观度,统计各组患者术后并发症总发生率及满意度。结果观察组手术(43.35±5.02)min、切口愈合时间(6.13±1.02)d、患者住院总时间(7.94±1.13)d均明显短于对照组,同时切口长度(2.11±0.56)cm短于对照组,术中出血量(25.95±7.94)mL少于对照组,差异有统计学意义(t=15.046、14.301、9.036、19.333、5.111,P<0.05)。观察组患者术后切口愈合甲级占比率明显高于对照组,差异有统计学意义(P<0.05)。观察组患者乳房美观度相应评分均明显高于对照组,差异有统计学意义(P<0.05)。观察组患者术后并发症总发生率2.38%低于对照组,差异有统计学意义(χ^(2)=6.206,P<0.05),观察组治疗总满意度95.24%高于对照组,差异有统计学意义(χ^(2)=8.249,P<0.05)。结论乳腺良性肿瘤患者采取乳晕缘小切口切除术治疗具有效果理想,美观度佳等优点,患者术后恢复快,并发症少。Objective To compare and analyze the effect and clinical value of traditional radial incision or areola margin resection for patients with benign breast tumors.Methods From February 2015 to March 2021,81 patients with benign breast tumors admitted and treated in the hospital were selected as research subjects,grouped according to different treatment methods.Patients in the control group(39 cases)were treated with traditional radial incision resection,and the observation group(42 cases)underwent a small incision resection of the areola,recorded and compared the clinical operative indicators of the two groups of patients,observed and compared the incision healing grades of the two groups of patients,evaluated and analyzed the aesthetics of the breasts of each group of patients,and counted the total occurrence of postoperative complication rate and satisfaction in each group of patients.Results The operation time of the observation group was(43.35±5.02)min,the incision healing time(6.13±1.02)d,and the total hospitalization time of the patient(7.94±1.13)d were significantly shorter than those of the control group.At the same time,the incision length was(2.11±0.56)cm,which shorter than the control group,the intraoperative blood loss(25.95±7.94)mL was less than the control group,and the difference was statistically significant(t=15.046,14.301,9.036,19.333,5.111,P<0.05).The rate of postoperative incision healing in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).The corresponding scores of breast aesthetics in the observation group were significantly higher than those in the control group,and the difference was statistically significant(P<0.05).The total incidence of postoperative complications in the observation group(2.38%)was lower than that in the control group,and the difference was statistically significant(χ^(2)=6.206,P<0.05),and the total satisfaction with the treatment in the observation group(95.24%)was higher than tha

关 键 词：放射状切口切除术 乳晕缘小切口切除术 乳腺良性肿瘤 疗效 美观度 并发症 

分 类 号：R737[医药卫生—肿瘤]