乳晕边缘切口治疗乳腺良性肿瘤的临床研究
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摘要
目的:探讨乳腺良性肿瘤采用乳晕边缘切口进行治疗的临床效果。方法:选取2011年3月-2013年5月入本院进行手术治疗的74例乳腺良性肿瘤患者,按入院治疗时间分为观察组和对照组,其中观察组38例,对照组36例。观察组采用乳晕边缘切口作为手术切口进行治疗,对照组采用传统开放切口作为手术切口进行治疗。对两组患者的手术疗效以及手术之后的瘢痕、哺乳情况进行比较。结果:与对照组相比,观察组患者创面无血肿,手术切口较为隐秘,瘢痕较小,两组比较差异均具有统计学意义(P<0.05);哺乳、瘀斑等情况与对照组比较差异无统计学意义(P>0.05)。结论:乳晕边缘切口是一种良好的切口选择方式,在乳腺良性肿瘤切除术中具有广阔的应用前景。
Objective:To explore the clinical effect of areola incision edge in the treatment of benign breast tumor. Method: 74 cases of benign breast tumor for surgical treatment in our hospital from March 2011 to May 2013 were divided into observation group and control group according hospitalization times,38 cases in the observation group and 36 cases in the control group.The observation group were given the edge of the areola incision treatment, the control group were given traditional open incision treatment. Surgery effect, scarring after surgery and breast-feeding of two groups were compared.Result: Compared with the control group, the observation group were no wound hematoma, more secretive surgical incision and less scarring.The difference were statistically significant between two groups(P<0.05).Breastfeeding,bruising were no significant difference between two groups(P>0.05). Conclusion: The edge of the areola incision incision is a good way in benign breast tumor resection and have broad application prospects.
Objective:To explore the clinical effect of areola incision edge in the treatment of benign breast tumor. Method: 74 cases of benign breast tumor for surgical treatment in our hospital from March 2011 to May 2013 were divided into observation group and control group according hospitalization times,38 cases in the observation group and 36 cases in the control group.The observation group were given the edge of the areola incision treatment, the control group were given traditional open incision treatment. Surgery effect, scarring after surgery and breast-feeding of two groups were compared.Result: Compared with the control group, the observation group were no wound hematoma, more secretive surgical incision and less scarring.The difference were statistically significant between two groups(P<0.05).Breastfeeding,bruising were no significant difference between two groups(P>0.05). Conclusion: The edge of the areola incision incision is a good way in benign breast tumor resection and have broad application prospects.
引文
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[15]Esme D L,Beekman W H,Hage J J,et al.Combined use of ultrasonicassisted liposuction and semicircular periareolar incision for the treatment of gynecomastia[J].Ann Plast Surg,2007,59(6):629-634.
[2]Ayoade B A,Tade A O,Salami B A.Clinical features and pattern of presentation of breast diseases in surgical outpatient clinic of a suburban tertiary hospital in South-west Nigeria[J].Niger J Surg,2012,18(1):13-16.
[3]Shao C,Li A,Zhang J,Xue D,et al.Neglected aspect of the strategy for human breast diseases:trans-areolar drug delivery[J].Med Hypotheses,2012,78(1):4-6.
[4]Tamaki K,Ishida T,Miyashita M,et al.Correlation between mammographic findings and corresponding histopathology:potential predictors for biological characteristics of breast diseases[J].Cancer Sci,2011,102(12):2179-2185.
[5]Chang J M,Moon W K,Cho N,et al.Clinical application of shear wave elastography(SWE)in the diagnosis of benign and malignant breast diseases[J].Breast Cancer Res Treat,2011,129(1):89-97.
[6]李有怀,余青,李昭琦.乳腺良性肿瘤168例手术操作体会[J].现代肿瘤医学,2012,20(7):1389-1391.
[7]Rozhkova N I,Kochetova G P,Belle T S.Assessment of the operation of local branches of radiodiagnosis of breast diseases in Russia(2002-2008)[J].Vopr Onkol,2009,55(4):501-511.
[8]朱淳厚,杨志帅.经乳晕切口纤维腺瘤切除体会[J].医学理论与实践,2011,24(12):1442-1443.
[9]蓝林.环乳晕切口治疗乳腺纤维瘤临床疗效分析[J].临床医学工程,2011,18(3):406-407.
[10]潘红英.乳晕切口行乳腺手术683例报告[J].中国肿瘤外科杂志,2010,2(1):66-67.
[11]李秋泽,寇卫东,李林.乳晕切口行肿物切除治疗纤维腺瘤136例[J].实用医药杂志,2011,28(6):508-511.
[12]王晓华,陈建安,华伟.经乳晕切口行乳腺良性肿块切除术的临床应用[J].中华普外科手术学杂志,2009,3(6):528-531.
[13]Tu L C,Tung K Y,Chen H C,et al.Eccentric mastectomy and zigzag periareolar incision for gynecomastia[J].Aesthetic Plast Surg,2009,33(4):549-554.
[14]Cannistra C,Piedimonte A,Albonico F.Surgical treatment of gynecomastia with severe ptosis:periareolar incision and dermal double areolar pedicle technique[J].Aesthetic Plast Surg,2009,33(6):834-837.
[15]Esme D L,Beekman W H,Hage J J,et al.Combined use of ultrasonicassisted liposuction and semicircular periareolar incision for the treatment of gynecomastia[J].Ann Plast Surg,2007,59(6):629-634.