经乳晕弧形切口切除乳腺纤维腺瘤的手术疗效分析

The efficacy of breast fibroadenomaexcision through the mammary areola arc incision

目的探讨经乳晕弧形切口切除乳腺纤维腺瘤的手术疗效。方法选取95例行乳腺纤维腺瘤切除术的患者为研究对象,回顾性分析其临床资料,根据其切口类型分成经乳晕弧形切口组(A组,n=55)和放射状切口组(B组,n=40)两组。比对两组患者术程、术中出血量、创口直径等手术指标差异,行为期6个月随访,记录其术后相关并发症发生情况。结果 1A、B两组患者在术程、术中出血量及创口直径等手术指标对比上均无统计学意义(P<0.05);2术后,A组相关并发症发生率为12.7%,同B组的12.5%对比无统计学意义(P>0.05);3A组中45例患者术后切口平整,无明显瘢痕且乳房外形无明显改变,B组中仅15例达到上述愈合标准,对比差异明显(P<0.05)。结论对乳腺纤维腺瘤患者予以经乳晕弧形切口肿瘤切除术,临床疗效显著,术后乳房无明显瘢痕,值得临床推广。

Objective This paper was to investigate the curative effect of breast fibroadenomaincision through mammary areola arc incision.Methods Selected 95 cases of breast fibroadenoma resection patients as the research object, a retrospective analysis of their clinical datas was done.The patients were divided into the mammary areola arc incision group （group A,n=55） and the radial incision group （group B,n=40）according to the types of incision.Operation indexes as operation time, amount of bleeding during the operation, the wound diameter were compared, patients in bothtwo groups were followed-up for6 months, recorded related postoperativecomplications.Results The differences of process of operation, intraoperative bleeding volume and contrast diameterof operation wound of the two groups had no statistically significant （P 〈0.05）.Related complication rate in group A was 12.7%, which was similar to12.5%of group B, the difference had no statistically significant （P 〉0.05）.The incisions were smooth in group A, without obvious scar and breast appearancehad no significant change, however, in B grouponly 15 cases reached healing standard, differences between the two groups were significant （ P 〈0.05）.Conclusions The mammary areola arc incision tumor resection of breast fibroadenoma, has significant clinical curative effect, without obvious postoperativescar in breast, it worth of clinical promotion.