环乳晕切口术治疗乳腺纤维瘤的效果及并发症分析

Effect and Complication Analysis of Annular Areola Incision in the Treatment of Mammary Fibroma

目的 探究环乳晕切口术治疗乳腺纤维瘤的效果及并发症观察。方法 回顾性分析于2019年7月—2021年12月厦门大学附属第一医院杏林分院收治的307例乳腺纤维瘤患者的临床资料,将采用放射状切口术治疗的患者纳入对照组(n=141),采用环乳晕切口术治疗的患者纳入研究组(n=166),比较两组患者临床疗效、手术相关指标、乳腺外形及瘢痕恢复情况、并发症发生情况。结果 研究组治疗总有效率为93.37%(155/166)高于对照组的89.36%(126/141),但差异无统计学意义(χ^(2)=1.583,P=0.208);研究组术中出血量、手术时间显著少于对照组,研究组切口长度显著短于对照组,差异有统计学意义(P<0.05);术后研究组并发症发生率(6.63%)显著低于对照组(19.86%),差异有统计学意义(χ^(2)=12.036,P=0.001)。结论 环乳晕切口术与放射状切口术治疗乳腺纤维瘤患者均具有良好的疗效,但前者可显著缩小手术切口、改善患者术后乳腺外形、提升瘢痕恢复效果与降低并发症发生率。

Objective To explore the effect and complication of treating mammary fibroma with annular areola incision.Methods The clinical data of 307 patients with mammary fibroma admitted to the Xinglin Branch of the First Affiliated Hospital of Xiamen University from July 2019 to December 2021 were retrospectively analyzed.Patients treated with radial incision were included in the control group(n=141),and those treated with annular areola incision were included in the study group(n=166).Clinical efficacy,surgical indicators,breast shape,scar recovery and complications were compared between the two groups.Results The effective rate of the study group was 93.37%(155/166),which was higher than that of the control group 89.36%(126/141),but the difference was not statistically significant(χ^(2)=1.583,P=0.208).The intraoperative blood loss and operation time of the study group were significantly less than those of the control group,and the incision length of the study group was significantly shorter than that of the control group,and the difference was statistically significant(P<0.05).The postoperative complication rate of the study group(6.63%)was significantly lower than that of the control group(19.86%),and the difference was statistically significant(χ^(2)=12.036,P=0.001).Conclusion Both annular areola incision and radial incision have good efficacy in the treatment of breast fibroma patients,but the former can significantly reduce the surgical incision,improve the postoperative appearance of the breast,improve the effect of scar recovery and reduce the incidence of complications.