经环乳晕切口切除乳腺纤维腺瘤的临床效果分析

Analysis of Clinical Effect of Resection of Breast Fibroadenoma through Circular Areola Incision

目的探讨经环乳晕切口切除术治疗乳腺纤维腺瘤的临床效果。方法回顾性分析该院2017年1—12月收治的乳腺纤维腺瘤手术患者60例,分为按传统放射切口手术的对照组和经环乳晕切口手术的观察组,各30例。对两组术后美观性自评分、术后并发症等情况进行对比分析。结果观察组术后6、12个月美观性自评分为(92.81±4.19)分、(88.83±3.42)分,高于对照组(78.57±3.25)分、(70.52±2.14)分,差异有统计学意义(t=14.709、24.859,P<0.01);观察组术后并发症率16.67%低于对照组10.00%,但差异无统计学意义(χ^(2)=0.144,P>0.05)。结论经环乳晕切口切除乳腺纤维腺瘤较传统放射切口手术美观性更好,并发症率低,临床效果确切。

Objective To discuss the clinical effect of transcircular areola incision resection in the treatment of breast fibroadenoma.Methods A retrospective analysis of 60 cases of breast fibroadenoma surgery patients admitted to the hospital from January to December 2017 were divided into a control group based on traditional radiological incision surgery and an observation group for transcircular areola incision surgery,each with 30 cases.The postoperative aesthetic self-score and postoperative complications of the two groups were compared and analyzed.Results The self-scores of aesthetics in the observation group at 6 and 12 months after operation were(92.81±4.19)points and(88.83±3.42)points,which were higher than the control group(78.57±3.25)points and(70.52±2.14)points,and the difference was statistically significant.Significance(t=14.709,24.859,P<0.01);the postoperative complication rate of the observation group was 16.67%lower than that of the control group 10.00%,but the difference was not statistically significant(χ^(2)=0.144,P>0.05).Conclusion Resection of breast fibroadenoma through circular areola incision is more aesthetic than traditional radiation incision,with lower complication rate and definite clinical effect.