乳晕边缘切口及压力封闭残腔技术在乳腺良性肿块切除术中的应用

An incision made at the areola mammae and pressure closure of residual cavity technology in benign breast lump removal

目的：探讨乳晕边缘切口及压力封闭残腔技术在切除乳腺良性肿块中的临床应用价值。方法2006年1月至2012年5月该科对2264例乳腺良性肿块住院患者进行乳晕边缘切口切除肿块，对切除肿块后所留的残腔采用加压包扎封闭技术，通过随访，评价对乳腺良性肿块的治疗效果。结果采用乳晕边缘切口及加压包扎封闭残腔技术，所有乳腺良性肿块均成功切除及痊愈；单个病灶长径为0．5～8．0 cm ，病灶数量为1～42个；手术时间5～162 min ，平均37 min；乳房切口疤痕微细，保持乳房外形；硬块感率25．4％，硬块感时间18～40 d ，平均29 d；患者满意98．4％，无严重并发症。结论乳晕边缘切口及压力封闭残腔技术在乳腺良性肿块切除的临床应用中，操作简单、美观、安全可行。

Objective To determine the clinical value of an incision made at the areola mammae and pressure closure of residual cavity technology applied to remove benign breast lumps .Methods 2 264 patients from January 2006 to May 2012 were performed using an incision made at the areola mammae for removing benign breast lumps and a pressure bandage to close the residual cavity in our department .The therapeutic results were evaluated through follow-up .Results All the benign breast lumps were resected safely and completely .The diameter of the single lump was 0 .5-8 .0 cm and the number of lesions was 1-42 .The mean operative time was 37 min（5-162 min） .There was minimum scar formation on breast ,the outline of the breast was maintained ,the rate of generating gelosis was 25 .4% ,the mean time of developing gelosis was 29 days（18 -40 days） ,and the rate of satisfaction was 98 .4% .No sever complications were found .Conclusion The technique in which an incision made at the areola mammae and pres-sure closure of residual cavity technology was applied to remove benign breast lumps is single ,safe and feasible surgical procedure with cosmetic results in clinical application .