乳晕切口行肿物切除治疗乳腺纤维腺瘤126例

Areola incision in the treatment of 126 breast fibroadenoma

目的观察乳晕切口行肿物切除治疗乳腺纤维腺瘤的临床疗效及对乳晕血管和神经的影响。方法对126例乳腺纤维腺瘤患者采取乳晕切口行腺瘤切除术,观察手术的治疗效果,并随访6月后患者乳晕血供及敏感度情况。并与同期112例行乳腺表面切口切除的资料比较。结果所有患者均成功摘除腺瘤,术后无积血、感染等并发症,术后6月随访均无乳晕坏死,敏感度下降等。乳晕切口组的手术时间(50±9min)长于乳腺表面切口(43±7min),而且手术出血量(30±5ml)也大于乳腺表(25±5ml)面切口。但是乳晕切口组的手术满意度(100%)大于乳腺表面切口组(90.17%),差异具有统计学意义(P【0.05)。结论乳晕切口行肿物切除治疗乳腺纤维腺瘤临床疗效好,手术简单,术后疤痕小,恢复快,患者满意度高。虽然手术时间及出血较多,但是对有美容要求的患者应提倡该手术方法。

Objective To observe the efficacy of areola incision in the treatment of resection breast fibroadenoma and its effect on blood vessels and nerves of the areola.Methods 126 cases of breast fibroadenoma patients were taking the areola incision adenoma resection,and observed the patients for blood supply and sensitivity of the areola after6 months.And compared with 112 routine breast surface incision of the comparison.Results All patients were successfully removed adenoma,postoperative hemorrhage,infection and other complications,postoperative follow-up in June with no areola necrosis,sensitivity decreased and so on.Areola incision surgery time(50±9min) was longer than the breast surface of the incision(43±7min),and blood loss(30±5ml) is greater than the breast form(25±5ml) surface incision.But the areola incision surgical satisfaction(100%)was greater than the surface of the breast incision group(90.17%),the difference was statistically significant(P<0.05).Conclusion The areola incision tumor resection in treatment of breast fibroadenoma was simple,ostoperative scarring,quick recovery,high patient satisfaction.Although the operative time and bleeding more,but this surgical should be promoted in the patients who have beauty requirements.