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目的探讨不同手术切口治疗乳腺纤维瘤的临床效果。方法选取2014年1-12月宁晋县妇幼保健院收治的120例乳腺纤维瘤患者作为研究对象,按随机数字表法将其分为观察组和对照组,各60例。对照组患者采用传统放射状切口方式进行手术,观察组患者采用经乳晕弧形切口方式,比较两组患者的手术时间、术中出血量、术后切口甲级愈合率、并发症发生情况、左右乳房对称情况及患者对瘢痕的满意度。结果观察组患者的手术时间明显短于对照组,术中出血量明显少于对照组,差异均有统计学意义(均P<0.05);观察组患者切口甲级愈合率明显高于对照组,术后切口肿胀、感染等并发症发生率明显低于对照组,差异均有统计学意义(均P<0.05);观察组患者术后乳房基本对称率、瘢痕可接受率均明显高于对照组,差异均有统计学意义(均P<0.05)。结论环乳晕切口治疗乳腺纤维瘤具有术中出血量少、术后切口愈合较好、手术用时短、并发症少、对乳房美观影响较小等优点。
Objective To investigate the clinical effect of different surgical incision on the treatment of breast fibroids. Methods A total of 120 patients with breast fibroids from January to December 2014 in Ningjin Maternal and Child Health Care Hospital were enrolled in this study. The patients were divided into observation group and control group according to random number table. The patients in the control group were operated by conventional radiological incision. The patients in the observation group were treated with arcuate incision through the areola. The operation time, intraoperative blood loss, postoperative grade A incision rate, complication, left and right breast Symmetry and patient satisfaction with the scar. Results The operation time of the observation group was significantly shorter than that of the control group, and the amount of bleeding during operation was significantly less than that of the control group (all P <0.05). In the observation group, the incision grade A healing rate was significantly higher than that of the control group, Postoperative incision swelling, infection and other complications was significantly lower than the control group, the difference was statistically significant (all P <0.05); the observation group patients postoperative breast basic symmetry rate, the scar acceptable rate was significantly higher than the control group , The differences were statistically significant (all P <0.05). Conclusions The treatment of breast fibroauroma with mammary areola incision has the advantages of less intraoperative blood loss, better postoperative incision healing, shorter operative time, fewer complications and less impact on breast aesthetics.