经乳晕旁切口及乳房后入路乳腺纤维瘤切除术治疗多发性乳腺纤维瘤患者的临床价值

Clinical Value of Paraareolar Incision and Retromammary Approach in the Treatment of Multiple Breast Fibroma

目的分析多发性乳腺纤维瘤行经乳晕旁切口及乳房后入路乳腺纤维瘤切除术的临床价值。方法选取2016年2月至2018年9月威海市妇幼保健院收治的180例乳腺纤维瘤患者,采用抽签的方法将其分为研究组和对照组,各90例。对照组采用传统乳腺纤维瘤切除术,研究组行经乳晕旁切口及乳房后入路乳腺纤维瘤切除术,比较两组患者手术相关指标、血肿情况、瘀斑大小、不能哺乳发生情况及满意度。结果研究组手术时间和术后住院时间短于对照组,术中失血量少于对照组,差异均有统计学意义(均P<0.05)。研究组手术血肿大小、瘀斑大小小于对照组,不能哺乳发生率低于对照组,差异均有统计学意义(均P<0.05)。研究组满意度高于对照组,差异有统计学意义(P<0.05)。结论采用经乳晕旁切口及乳房后入路乳腺纤维瘤切除术治疗多发性乳腺纤维瘤患者的效果显著,患者术后恢复快,感染率低,满意度高。

Objective To analyze the clinical value of breast fibroma resection by paraareolar incision and retromammary approach.Methods From February 2016 to September 2018,180 patients with breast fibroma admitted to Weihai Maternal and Child Health Hospital were selected and divided into study group and control group by drawing lots,with 90 cases in each group.The control group was treated with traditional breast fibroma resection,and the study group was treated with mammary fibroma resection through periareolar incision and retromammary approach.The operation related indexes,hematoma,ecchymosis size,incidence of non lactation and satisfaction were compared between the two groups.Results The operation time and postoperative hospital stay of the study group were shorter than those of the control group,and the intraoperative blood loss was less than that of the control group,the differences were statistically significant(all P<0.05).The hematoma size and ecchymosis size of the study group were smaller than those of the control group,and the incidence of non-lactation was lower than that of the control group(all P<0.05).The satisfaction of the study group was higher than that of the control group(P<0.05).Conclusion Breast fibroma resection through periareolar incision and retromammary approach is effective in the treatment of multiple breast fibroma,with rapid recovery,low infection rate and high satisfaction.