腺体瓣成形术在病理性乳头溢液手术中的应用  

Application of glandular valvuloplasty in the operation of pathological nipple discharge

作　　者：石静 陈龙舟[1] 于倩 高峥嵘[1] 陆澄[2] Shi Jing;Chen Longzhou;Yu Qian;Gao Zhengrong;Lu Cheng(Department of Mammary Gland,Huaian Maternal and Child Health Hospital,Huaian Jiangsu Province 223001,China;Department of Mammary Gland,Nanjing Maternal and Child Health Center,Nanjing Jiangsu Province 210004,China)

机构地区：[1]淮安市妇幼保健院乳腺科,江苏淮安223001 [2]南京市妇幼保健院乳腺科,南京210004

出　　处：《中华普外科手术学杂志（电子版）》2024年第6期691-693,共3页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：江苏省科学自然基金项目(BK20211018)。

摘　　要：目的探讨病理性乳头溢液手术中应用腺体瓣成形法对乳房进行整形的临床可行性及效果评价。方法回顾性分析2021年9月至2024年6月74例病理性乳头溢液患者的临床资料。依据手术方式不同,分成对照组(n=37例,实施乳腺部分切除术)和研究组(n=37例,实施乳腺部分切除术+腺体瓣成形术或筋膜成形术)。数据使用SPSS 20.0软件进行统计分析。计数资料用[例(%)]表示,采用χ^(2)检验或Fisher精确检验;计量资料以(χ±s)表示,采用独立样本t检验。P<0.05为差异有统计学意义。结果与对照组比较,研究组患者手术时间长、术后1d引流量及治疗总费用多;两组患者术中出血量比较差异无统计学意义(P>0.05);研究组患者对乳房外形的满意度更高(P<0.05);两组患者术后总并发症率比较,差异无统计学意义(P>0.05)。结论在乳头溢液的外科手术中应用腺体瓣成形术,能够弥补局部腺体损失造成的凹陷,保持乳房的外形,明显地提升患者满意度,手术安全有效。Objective To evaluate the clinical feasibility and effect of breast plasty with glandular valvuloplasty in the operation of pathological nipple discharge.Methods The clinical data of 74 patients with pathological nipple discharge from September 2021 to June 2024 were retrospectively analyzed.According to the different surgical methods,they were divided into control group(n=37 cases,partial mastectomy)and study group(n=37 cases,partial mastectomy+valvuloplasty or fascioplasty).SPSS 20.0 software was used for statistical analysis.The count data were represented by[cases(%)]usingχ^(2) test or Fisher exact test.Measurement data were expressed as(χ±s)and independent sample t test was used.P<0.05 was considered statistically significant.Results Compared with the control group,the operation time of patients in the study group was longer,and the total cost of treatment was higher within 1 day after operation.There was no significant difference in intraoperative blood loss between the two groups(P>0.05).The satisfaction of breast shape was higher in the study group(P<0.05).There was no significant difference in the total complication rate between the two groups(P>0.05).Conclusion The application of glandular valvuloplasty in the surgical operation of nipple discharge can make up for the depression caused by local gland loss,maintain the shape of the breast,significantly improve patient satisfaction,and the operation is safe and effective.

关 键 词：乳头溢液 乳房部分切除术 腺体瓣成形术 

分 类 号：R737.9[医药卫生—肿瘤]