摘要
目的旨对经乳晕切口行乳房良性肿块切除术的临床效果研究。方法选择笔者单位2015年1月—2017年4月间收治的54例行乳房良性肿块切除术患者为研究资料;按患者住院时间为分组依据,对照组27例行传统肿块表面切口切除术;乳晕组27例行经乳晕缘小切口切除术;对比两组手术情况、并发症发生情况、乳房美观度情况。结果乳晕组平均术中出血量、平均手术时间分别为(32.5±5.5)m L、(52.5±6.8)min,对照组为(29.5±5.0)m L、(49.6±6.4)min,组间差异无统计学意义(P>0.05);但乳晕组平均切口长度(20.3±3.0)mm明显小于对照组(40.2±5.0)mm,组间差异有统计学意义(P<0.05);同时,乳晕组术后平均切口愈合时间(6.5±1.5)d、术后并发症发生率(8.33%)均明显优于对照组的(9.5±2.0)d、18.52%;组间差异有统计学意义(P<0.05);术后6个月时的回访发现,乳晕组乳房美观度均明显优于对照组(P<0.05)。结论乳晕切口行乳房良性肿块切除术具良好的安全性、美观性,在保障临床手术效果的同时,也全面提升患者满意度。
Objective To research the clinical effect of lumpectomy of breast in treatment of areola mammae incision.Methods 54 cases of patients with breast benign tumor incisions admitted and treated in our hospital from January 2015 to April 2017 were selected and divided into two groups with 27 cases in each according to the admission time,the control group underwent the traditional mass surface incision resection,while the areola of breast group underwent the areola mammae incision,and the operation situation,occurrence of complications and breast beauty were compared between the two groups.Results The average intraoperative bleeding loss and average operation time in the areola of breast group and in the control group were respectively(32.5±5.5)mL,(52.5±6.8)min and(29.5±5.0)mL,(49.6±6.4)min,and there were no obvious differences between groups(P>0.05),but the average cut length in the areola of breast group was obviously less than that in the control group[(20.3±3.0)mm vs(40.2±5.0)mm],and the difference was obvious(P<0.05),at the same time,the average incision healing time after surgery and incidence rate of complications after surgery in the areola of breast group were obviously better than those in the control group[(6.5±1.5)d,8.33%vs(9.5±2.0)d,18.52%],and the differences between groups were obvious(P<0.05),and the follow-up after 6-month operation showed that the breast beauty in the areola of breast group was obviously better than that in the control group(P<0.05).Conclusion The safety and beauty of lumpectomy of breast in treatment of areola mammae incision are good,which can ensure the clinical operation effect and comprehensively improve the satisfactory degree of patients.
作者
徐月华
XU Yue-hua(Department of General Surgery,Lianshui People’s Hospital,Huai’an,Jiangsu Province,223400 China)
出处
《系统医学》
2017年第14期72-74,共3页
Systems Medicine
关键词
乳晕切口
乳房肿块
良性
切除术
临床效果
Areola mammae incision
Breast mass
Benign
Incision
Clinical effect
作者简介
徐月华(1960-),男,江苏淮安人,本科,主治医师,主要从事普外科临床医疗工作。
