保留哺乳功能的改良乳头内陷矫正术  

Modified nipple retraction to preserve lactation function

作　　者：齐鑫[1] 赵瑞 刘思源[1] 徐斌 牛艺璇 刘志鹏 折占飞[1] Qi Xin;Zhao Rui;Liu Siyuan;Xu Bin;Niu Yixuan;Liu Zhipeng;She Zhanfei(Department of General Surgery,Ordos Central Hospital,Ordos Inner Mongolia 017010,China)

机构地区：[1]鄂尔多斯市中心医院普外科,内蒙古鄂尔多斯017000

出　　处：《中华普外科手术学杂志（电子版）》2023年第2期201-204,共4页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：鄂尔多斯市产业创新创业人才团队项目(鄂人才办通字[2016]2号)。

摘　　要：目的:探讨一种新的保留哺乳功能的乳头内陷矫正方法治疗乳头内陷的可行性和临床疗效。方法:回顾性分析2017年1月至12月收治的经传统矫正术(“套管针穿刺”支架法)和2020年1月至2021年12月收治的经改良矫正术(“套管针穿刺”支架法+“埋线法”)矫正乳头内陷患者的临床资料,每组各28例。应用SPSS 21.0软件进行数据分析,满意度评分等计量资料以(xˉ±s)表示,行独立样本t检验;复发率等计数资料行χ^(2)检验。临床疗效比较采用秩和检验。P<0.05为差异有统计学意义。结果:56例患者均成功实施手术,患者术后无明显不适感,治疗期间乳头无异常感觉和血运障碍,不影响正常生活,改良手术组患者临床疗效显著优于传统手术组(P>0.05),术后复发率传统手术组显著高于改良手术组(P>0.05),改良组患者对手术效果的满意度明显高于传统手术组(P>0.05),且改良手术组10例患者于术后16个月妊娠并顺利哺乳。结论:“套管针穿刺”支架法+“埋线法”乳头内陷矫正术既保留了支架法乳头矫正术的优点,还使乳头内陷矫正效果更加稳定,且不影响患者哺乳功能,临床效果满意。Objective To investigate the feasibility and clinical effect of a new method of correcting inverted nipples with breast-feeding function.Methods Clinical data of patients with inverted nipple corrected by traditional correction(“trocar puncture”stent method)and improved correction(“trocar puncture”stent method+“buried wire method”)admitted from January to December 2017 and admitted from January 2020 to December 2021 were retrospectively analyzed,with 28 cases in each group.SPSS 21.0 software was used to analyze the data.Measurement data such as satisfaction scores were expressed as(x+s)and independent sample t test was performed.The recurrence rate and other counts were analyzed by chi-square test.Clinical efficacy was compared by Rank Sum test.P<0.05 was considered statistically significant.Results All the 56 patients were successfully operated,and the patients had no obvious postoperative discomfort,no abnormal sensation in the nipple and blood circulation disorder during the treatment,which did not affect their normal life.The clinical efficacy of the improved surgery group was significantly better than that of the traditional surgery group(P>0.05),and the postoperative recurrence rate of the traditional surgery group was significantly higher than that of the improved surgery group(P>0.05).The satisfaction of patients in the improved group was significantly higher than that in the traditional surgery group(P>0.05),and 10 patients in the improved surgery group were pregnant and breast-fed successfully 16 months after surgery.Conclusion“Trocar puncture”stent method+“buried wire method”nipple inversion correction not only retains the advantages of the stent method of nipple correction,but also makes the correction effect of nipple inversion more stable,and does not affect the nursing function of patients,and the clinical effect is satisfactory.

关 键 词：乳头内陷 矫正术 支架法 埋线法 疗效比较研究 

分 类 号：R737.9[医药卫生—肿瘤]