采用环乳晕与放射状切口治疗乳腺良性肿瘤的对比研究  

A comparative study on the clinical treatment eff ect of circular areola and radial incision surgery on patients with breast fi broadenoma

作　　者：欧志科 黄东喜 侯玉根 伍展佳 Ou Zhike;Huang Dongxi;Hou Yugen;Wu Zhanjia(General Surgery Department of Fengkai County People's Hospital in Zhaoqing City,Guangdong Zhaoqing 526500,China)

机构地区：[1]肇庆市封开县人民医院普外科,广东肇庆526500

出　　处：《临床普外科电子杂志》2024年第3期23-27,共5页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的探究乳腺良性肿瘤采用环乳晕与放射状切口治疗的临床效果。方法选取肇庆市封开县人民医院2019年9月至2024年1月收治的乳腺良性肿瘤患者50例,均为女性,按照随机数字表法分为两组,各25例。研究组采用环乳晕切口手术,对照组采用放射状切口手术。对比两组患者的临床疗效、围手术期指标、乳房美观度评分、乳晕区感觉神经功能状况及并发症发生情况。结果相较于对照组,研究组治疗总有效率较高,手术瘢痕长度较短,手术时间较长,出血量较多,乳房美观满意度较高,术后乳晕区感觉神经功能恢复情况均较好,并发症发生率低,差异有显著性(P<0.05)。结论两种手术切口均可有效治疗乳腺良性肿瘤,但环乳晕切口手术患者体表遗留瘢痕较小,治疗效果较好,且术后患者对乳房美观满意度较高,不会对乳晕区感觉神经功能造成影响,并发症少,安全可靠。Objective To explore the clinical effi cacy of using circular areola and radial incision treatment for benign breast tumors.Method Fifty patients with benign breast tumors admitted to our hospital from September 2019 to January 2024 were divided into two groups using a random number table method,with 25 cases in each group.The research group underwent circumareolar incision surgery,while the control group underwent radial incision surgery.Compare the clinical efficacy,perioperative indicators,breast aesthetics score,sensory nerve function in the areola area,and complications between two groups.Result Compared with the control group,the study group had a higher overall treatment effi cacy,shorter surgical scar length,longer surgical time,more bleeding,higher satisfaction with breast aesthetics,better postoperative recovery of sensory nerve function in the areola area,and lower incidence of complications,with signifi cant diff erences(P<0.05).Conclusion Both types of incision surgery can eff ectively treat benign breast tumors.However,patients undergoing circumareolar incision surgery have smaller residual scars on the body surface,resulting in better treatment outcomes.Additionally,postoperative patients have a higher satisfaction with breast aesthetics and will not aff ect the sensory nerve function in the areola area.With fewer complications,it is safe and reliable.

关 键 词：乳腺良性肿瘤 环乳晕切口 放射状切口 神经功能 乳房美观度 

分 类 号：R737.9[医药卫生—肿瘤]