揪提手法与梯级提升牵引器矫治乳头内陷患者的效果对比分析
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摘要
目的:分析和比较揪提手法与梯级提升牵引器矫治乳头内陷的临床效果。方法:选择2013年1月-2018年1月于我院进行治疗的44例乳头内陷患者为研究对象,按照随机数字表法将其均分为实验组与对照组,每组各22例患者。对照组患者实施揪提手法治疗,实验组患者使用梯级提升牵引器进行治疗,两组干预时间均为2个月。治疗结束后,对比两组患者治疗有效率,治疗开始时、治疗1个月时及治疗2个月时视觉模拟量表评分(VAS),术后3个月时复发率及治疗期间并发症发生率。结果:(1)对照组治疗有效率为59.09%(26/44),实验组治疗有效率为86.36%(38/44),较对照组显著升高(P<0.05);(2)治疗第一天,实验组患者VAS评分明显高于对照组(P<0.05),但两组患者治疗1个月及2个月时VAS评分对比差异不具有统计学意义(P>0.05);(3)术后6个月随访示实验组复发率显著低于对照组(P<0.05);(4)实验组患者治疗期间不良反应发生率明显低于对照组(P<0.05)。结论:阶梯提升牵引器矫治乳头内陷的效果明显常规优于揪提手法,虽然治疗之初患者较为疼痛,但患者远期预后显著好于常规揪提手法。
Objective: To analyze and compare the clinical effects of pulling manipulation and step lifting of tractor for the correction of nipple inversion. Methods: 44 patients with inverted nipples who were treated in our hospital from January 2013 to January 2018 were divided into the experimental group and the control group according to random number table method. Each group had 22 patients.The control group was treated with pulling manipulation, while the experimental group was treated with stepped lifting tractor. The intervention time in the two groups was 2 months. After treatment, the effective rate, visual analogue scale(VAS) score at the beginning of treatment, at 1 month and 2 months after treatment, the recurrence rate at 3 months after operation and the complication rate during treatment were compared between the two groups. Results:(1) The effective rate was 59.09%(26/44) in the control group and 86.36%(38/44)in the experimental group, which was significantly higher in the experimental group than that in the control group(P<0.05);(2) On the first day of treatment, the VAS score of experimental group was significantly higher than that of the control group(P<0.05), but there was no significant difference between the two groups at 1 month and 2 months of treatment(P>0.05);(3) After 6 months' follow-up, the recurrence rate of experimental group was significantly lower than that in the control group(P<0.05);(4) The incidence of adverse reactions in the experimental group was significantly lower than that in the control group(P<0.05). Conclusion: The effect of step lifting tractor for correction of nipple inversion is obviously better than that of pulling manipulation. Although the initial treatment is more painful, the long-term prognosis of patients is significantly better than that of lifting manipulation.
Objective: To analyze and compare the clinical effects of pulling manipulation and step lifting of tractor for the correction of nipple inversion. Methods: 44 patients with inverted nipples who were treated in our hospital from January 2013 to January 2018 were divided into the experimental group and the control group according to random number table method. Each group had 22 patients.The control group was treated with pulling manipulation, while the experimental group was treated with stepped lifting tractor. The intervention time in the two groups was 2 months. After treatment, the effective rate, visual analogue scale(VAS) score at the beginning of treatment, at 1 month and 2 months after treatment, the recurrence rate at 3 months after operation and the complication rate during treatment were compared between the two groups. Results:(1) The effective rate was 59.09%(26/44) in the control group and 86.36%(38/44)in the experimental group, which was significantly higher in the experimental group than that in the control group(P<0.05);(2) On the first day of treatment, the VAS score of experimental group was significantly higher than that of the control group(P<0.05), but there was no significant difference between the two groups at 1 month and 2 months of treatment(P>0.05);(3) After 6 months' follow-up, the recurrence rate of experimental group was significantly lower than that in the control group(P<0.05);(4) The incidence of adverse reactions in the experimental group was significantly lower than that in the control group(P<0.05). Conclusion: The effect of step lifting tractor for correction of nipple inversion is obviously better than that of pulling manipulation. Although the initial treatment is more painful, the long-term prognosis of patients is significantly better than that of lifting manipulation.
引文
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[15] Liang W, Zhao Z, Liu S, et al. Cross Vertical Mattress Suturing with Basilar Tightening During the Correction of Inverted Nipple in 30Cases[J]. Aesthetic Plastic Surgery, 2017, 41(4):1-6
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[19] Alem S, Perry C J, Zhu X, et al. Associative Mechanisms Allow for Social Learning and Cultural Transmission of String Pulling in an Insect[J]. Plos Biology, 2016, 14(10):e1002564
[20] Wang C, Gong Z, Pan Y L, et al. Laser pushing or pulling of absorbing airborne particles[J]. Applied Physics Letters, 2016, 109(1):288-290
[21] Liu H, Panmai M, Peng Y, et al. Optical pulling and pushing forces exerted on silicon nanospheres with strong coherent interaction between electric and magnetic resonances[J]. Optics Express, 2017, 25(11):12357
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[23] Starosolski R. Application of Reversible Denoising and Lifting Steps to LDg Eb and RCT Color Space Transforms for Improved Lossless Compression[J]. Journal of Electronic Imaging, 2016, 25(4):043025
[24] Cardoso R, Soares H, Hemphill A, et al. Apicomplexans pulling the strings:manipulation of the host cell cytoskeleton dynamics[J]. Parasitology, 2016, 143(8):957-970
[25] Mitri F G. Pulling and spinning reversal of a subwavelength absorptive sphere in adjustable vector Airy light-sheets[J]. Applied Physics Letters, 2017, 110(18):44-51
[26] Alem S, Perry C J, Zhu X, et al. Associative Mechanisms Allow for Social Learning and Cultural Transmission of String Pulling in an Insect[J]. Plos Biology, 2016, 14(10):e1002564
[27] Rahman M M, Sayem A A, Mahdy M R C, et al. Tractor beam for fully immersed multiple objects:Long distance pulling, trapping, and rotation with a single optical set-up[J]. Annalen Der Physik, 2016,527(11-12):777-793
[28] Rajabi M, Mojahed A. Acoustic Manipulation of a Liquid-filled Spherical Shell Activated with an Internal Spherical Oscillator[J]. Acta Acustica United with Acustica, 2017, 103(2):210-218
[29] Zhang T, Mei S, Wang Q, et al. Reconfigurable optical manipulation by phase change material waveguides[J]. Nanoscale, 2017, 9(20):6895-6900
[30] Dessena L, Dast S, Perez S, et al. Inverted Nipple Treatment and Poliglecaprone Spacer[J]. Aesthetic Plastic Surgery, 2018, 23(12):1-6
[31] Kim J T, Lim Y S, Oh J G. Correction of inverted nipples with twisting and locking principles[J]. Plastic&Reconstructive Surgery, 2018,118(7):1526
[2] Mitri F G. Axial acoustic radiation force on rigid oblate and prolate spheroids in Bessel vortex beams of progressive, standing and quasi-standing waves[J]. Ultrasonics, 2017, 74(1):62-71
[3] Novitsky A, Ding W, Wang M, et al. Pulling cylindrical particles using a soft-nonparaxial tractor beam[J]. Scientific Reports, 2017, 7(1):652
[4] Stanton C, Starek M J, Elliott N, et al. Unmanned aircraft system-derived crop height and normalized difference vegetation index metrics for sorghum yield and aphid stress assessment[J]. Journal of Applied Remote Sensing, 2017, 11(2):026035
[5] Yang Y, Yang Z, Zhang B. Acoustic valley edge states in a graphene-like resonator system[J]. Journal of Applied Physics, 2018,123(9):091713
[6] Martin-Brevet S, JarrasséN, Burdet E, et al. Taxonomy based analysis of force exchanges during object grasping and manipulation[J]. Plos One, 2017, 12(5):e0178185
[7] Murooka M, Ueda R, Nozawa S, et al. Global planning of whole-body manipulation by humanoid robot based on transition graph of object motion and contact switching[J]. Advanced Robotics, 2017, 31(6):322-340
[8] Bhardwaj R G, Lou P C, Kumar S. Spin Seebeck effect and thermal spin galvanic effect in Ni80Fe20/p-Si bilayers[J]. Applied Physics Letters, 2018, 112(4):042404
[9] Marzo A, Ghobrial A, Cox L, et al. Realization of compact tractor beams using acoustic delay-lines[J]. Applied Physics Letters, 2017,110(1):014102
[10] Xu J, Ruan H, Liu Y, et al. Focusing light through scattering media by transmission matrix inversion[J]. Optics Express, 2017, 25(22):27234-27246
[11] Arizpe J M, Mckean D L, Tsao J W, et al. Where You Look Matters for Body Perception:Preferred Gaze Location Contributes to the Body Inversion Effect[J]. Plos One, 2017, 12(1):e0169148
[12] Yukun L, Ke G, Jiaming S. Application of Nipple Retractor for Correction of Nipple Inversion:A 10-Year Experience[J]. Aesthetic Plastic Surgery, 2016, 40(5):1-9
[13] Leland H A, Gould D J, Wolfswinkel E M, et al. Academic Productivity:A Guide for Students, Residents, and Fellows[J]. Aesthetic Surgery Journal, 2017, 37(10):NP137
[14] Sowa Y, Itsukage S, Morita D, et al. Inverted Nipple Correction with Selective Dissection of Lactiferous Ducts Using an Operative Microscope and a Traction Technique[J]. Aesthetic Plastic Surgery, 2017,41(5):1-4
[15] Liang W, Zhao Z, Liu S, et al. Cross Vertical Mattress Suturing with Basilar Tightening During the Correction of Inverted Nipple in 30Cases[J]. Aesthetic Plastic Surgery, 2017, 41(4):1-6
[16] Starosolski R. Application of Reversible Denoising and Lifting Steps to LDg Eb and RCT Color Space Transforms for Im proved Lossless Compression[J]. Journal of Electronic Imaging, 2016, 25(4):043025
[17] Cardoso R, Soares H, Hemphill A, et al. Apicomplexans pulling the strings:manipulation of the host cell cytoskeleton dynamics[J]. Parasitology, 2016, 143(8):957-970
[18] Mitri F G. Pulling and spinning reversal of a subwavelength absorptive sphere in adjustable vector Airy light-sheets[J]. Applied Physics Letters, 2017, 110(18):44-51
[19] Alem S, Perry C J, Zhu X, et al. Associative Mechanisms Allow for Social Learning and Cultural Transmission of String Pulling in an Insect[J]. Plos Biology, 2016, 14(10):e1002564
[20] Wang C, Gong Z, Pan Y L, et al. Laser pushing or pulling of absorbing airborne particles[J]. Applied Physics Letters, 2016, 109(1):288-290
[21] Liu H, Panmai M, Peng Y, et al. Optical pulling and pushing forces exerted on silicon nanospheres with strong coherent interaction between electric and magnetic resonances[J]. Optics Express, 2017, 25(11):12357
[22] Bian X, Gao D L, Gao L. Tailoring optical pulling force on gain coated nanoparticles with nonlocal effective medium theory[J]. Optics Express, 2017, 25(20):24566
[23] Starosolski R. Application of Reversible Denoising and Lifting Steps to LDg Eb and RCT Color Space Transforms for Improved Lossless Compression[J]. Journal of Electronic Imaging, 2016, 25(4):043025
[24] Cardoso R, Soares H, Hemphill A, et al. Apicomplexans pulling the strings:manipulation of the host cell cytoskeleton dynamics[J]. Parasitology, 2016, 143(8):957-970
[25] Mitri F G. Pulling and spinning reversal of a subwavelength absorptive sphere in adjustable vector Airy light-sheets[J]. Applied Physics Letters, 2017, 110(18):44-51
[26] Alem S, Perry C J, Zhu X, et al. Associative Mechanisms Allow for Social Learning and Cultural Transmission of String Pulling in an Insect[J]. Plos Biology, 2016, 14(10):e1002564
[27] Rahman M M, Sayem A A, Mahdy M R C, et al. Tractor beam for fully immersed multiple objects:Long distance pulling, trapping, and rotation with a single optical set-up[J]. Annalen Der Physik, 2016,527(11-12):777-793
[28] Rajabi M, Mojahed A. Acoustic Manipulation of a Liquid-filled Spherical Shell Activated with an Internal Spherical Oscillator[J]. Acta Acustica United with Acustica, 2017, 103(2):210-218
[29] Zhang T, Mei S, Wang Q, et al. Reconfigurable optical manipulation by phase change material waveguides[J]. Nanoscale, 2017, 9(20):6895-6900
[30] Dessena L, Dast S, Perez S, et al. Inverted Nipple Treatment and Poliglecaprone Spacer[J]. Aesthetic Plastic Surgery, 2018, 23(12):1-6
[31] Kim J T, Lim Y S, Oh J G. Correction of inverted nipples with twisting and locking principles[J]. Plastic&Reconstructive Surgery, 2018,118(7):1526