环乳晕切口与放射状切口手术治疗乳腺纤维瘤的效果比较

Comparison of the effects of circular areola incision and radial incision in the treatment of breast fibroma

目的分析环乳晕切口与放射状切口手术治疗乳腺纤维瘤的效果。方法选取2019年6月至2020年8月本院实施治疗的90例乳腺纤维瘤患者作为研究对象,根据随机数字表法将其分为试验组(45例,环乳晕手术切口)与参照组(45例,放射状手术切口)。比较两组的手术时长、出血量、疼痛感评分、住院时长、术后瘢痕宽幅、术后瘢痕高幅、并发症发生情况、满意度、临床疗效、乳晕区感觉恢复情况、切口愈合和瘢痕形成情况。结果试验组的手术时长、出血量、住院时长、术后瘢痕宽幅、术后瘢痕高幅均优于参照组,差异具有统计学意义(P<0.05);两组的疼痛感评分比较,差异无统计学意义(P>0.05)。试验组的并发症总发生率为11.11%,低于参照组的33.33%,差异具有统计学意义(P<0.05)。试验组的预后满意度、美观满意度分别为97.78%、93.33%,高于参照组的84.44%、75.56%,差异具有统计学意义(P<0.05)。试验组的治疗总有效率为100.00%,高于参照组的86.67%,差异具有统计学意义(P<0.05)。术后1 d和术后6个月,试验组的乳晕区感觉恢复情况明显优于参照组,差异具有统计学意义(P<0.05)。术后3、6个月,试验组的厚度、色泽、柔软度和血管分布评分均低于参照组,差异具有统计学意义(P<0.05)。结论环乳晕切口手术治疗乳腺纤维瘤的效果较好,可有效缩短恢复时间,降低术后并发症发生率,具备临床推广价值。

Objective To analyze the effects of circular areola incision and radial incision in the treatment of breast fibroma.Methods A total of 90 patients with breast fibroma who were treated in our hospital from June 2019 to August2020 were selected as study objects,and the patients were divided into experimental group(45 cases,circular areola incision)and reference group(45 cases,radial incision)according to the random number table method.The operation duration,bleeding volume,pain sensation score,hospitalization time,postoperative scar width,postoperative scar height,complication occurrence,satisfaction,clinical efficacy,sensory recovery of areola area,incision healing and scar formation were compared between the two groups.Results The operation time,bleeding volume,hospitalization time,postoperative scar width and postoperative scar height of the experimental group were better than those of the reference group,and the differences were statistically significant(P<0.05);there was no significant difference in the pain sensation score between the two groups(P>0.05).The total incidence of complications in the experimental group was 11.11%,which was lower than 33.33% in the reference group,and the difference was statistically significant(P<0.05).The prognosis satisfaction and aesthetic satisfaction of the experimental group were 97.78% and 93.33% respectively,which were higher than84.44% and 75.56% of the reference group,and the differences were statistically significant(P<0.05).The total effective rate of treatment in the experimental group was 100.00%,which was higher than 86.67% in the reference group,and the difference was statistically significant(P<0.05).At 1 d and 6 months after operation,the sensory recovery of the areola area of the experimental group was significantly better than that of the reference group,and the difference was statistically significant(P<0.05).At 3 and 6 months after operation,the thickness,color,softness and vascular distribution scores of the experimental group were lower than those of the reference group,and the differences were statistically significant(P<0.05).Conclusion Circular areola incision in the treatment of breast fibroma has a good effect,which can effectively shorten the recovery time,reduce the incidence of postoperative complications,with clinical promotion value.