乳晕弧形小切口切除乳腺良性肿瘤的美学效果观察  

Aesthetic Effects of Small Arc Areola Incision Surgical Approach for Benign Breast Tumors

作　　者：刘鹏飞 LIU Peng-fei(Department of Mammary Gland,the First Affiliated Hospital of Hunan College of Traditional Chinese Medicine,Zhuzhou 412000,Hunan,China)

机构地区：[1]湖南中医药高等专科学校附属第一医院乳腺科,湖南株洲412000

出　　处：《中国美容医学》2021年第12期5-8,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:观察乳晕弧形小切口术式治疗乳腺良性肿瘤的美学效果。方法:选择笔者医院收治的120例乳腺良性肿瘤患者,在患者自愿的基础上按照简单随机分组法予以分组。对照组(n=60)采用传统放射状切口术式治疗,观察组(n=60)予以乳晕弧形小切口术式治疗,对比两组手术相关指标、手术疗效、温哥华瘢痕量表(Vancouver scar scale,VSS)评分、乳腺外形满意度、并发症发生情况。结果:观察组术后住院时间短于对照组,切口长度小于对照组,差异有统计学意义(P<0.05);两组患者手术时间、术中出血量、术中补液量比较,差异无统计学意义(P>0.05);观察组手术有效率、乳腺外形满意度均高于对照组,差异有统计学意义(P<0.05);观察组色泽、厚度、柔软度及VSS总分均低于对照组,差异有统计学意义(P<0.05);两组患者血管分布评分比较,差异无统计学意义(P>0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论:乳晕弧形小切口术式治疗乳腺良性肿瘤的手术学及触觉美学效果较好,可以更好地保证患者术后乳房美观度,提高其满意度。Objective To observe the aesthetic effects of small arc areola incision surgical approach in the treatment of benign breast tumors.Methods A total of 120 patients with benign breast tumors were selected and randomly grouped.Patients in the control group(n=60)were treated with traditional radial incision surgery,while those in the observation group(n=60)were treated with small arc areola incision surgery.Surgery-related indexes,surgical results,Vancouver Scar Scale(VSS)scores,satisfaction with breast shape and complications were compared between the two groups.Results Postoperative hospital stay and incision of observation group were shorter than those of the control group(P<0.05).There was no statistically significant difference between the two groups in operation time,intraoperative blood loss,and intraoperative fluid supplementation(P>0.05).The surgical response rate and satisfaction with breast appearance in observation group were higher than those in the control group(P<0.05).Scores of color,thickness and softness,and total score of VSS of the observation group were lower than those of the control group(P<0.05).There was no statistically significant difference in vascular distribution score between the two groups(P>0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Small Arc areola incision surgical approach can achieve good aesthetics effects in the treatment of benign breast tumors,which can ensure postoperative breast aesthetics and improve patient satisfaction.

关 键 词：乳晕弧形小切口 乳腺良性肿瘤 放射状切口 满意度 美学 

分 类 号：R322.66[医药卫生—人体解剖和组织胚胎学]