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目的探讨腋下皱襞切口联合皮内多点缝合法治疗乳腺外上象限及腋尾部纤维的临床效果。方法 70例乳腺纤维腺瘤患者,按照随机原则将患者分为观察组与对照组,每组35例。观察组采用腋下皱襞切口联合皮内多点缝合治疗,对照组采用传统放射状切口治疗,对比两组患者的手术时间、术中出血量、治疗费用、并发症发生率。结果观察组手术时间(36.00±5.55)min短于对照组(55.00±8.5)min(P<0.05),术中出血量(6.80±1.50)ml少于对照组(10.00±3.50)ml(P<0.05);两组患者治疗费用对比差异无统计学意义(P>0.05)。观察组治疗满意度(100.00%)明显高于对照组(71.43%),差异具有统计学意义(P<0.05)。两组患者并发症发生率对比差异无统计学意义(P>0.05)。结论腋下皱襞切口治疗乳腺外上象限及腋尾部纤维腺瘤具有可行性。
Objective To investigate the clinical effect of underarm folds incision combined with multiple intradermal sutures on the upper quadrant of the breast and the fibers of the axilla. Methods Seventy patients with breast fibroadenoma were divided into observation group and control group randomly according to the principle of randomness, 35 cases in each group. The observation group was treated with underarm folds and multiple intradermal sutures. The control group was treated by conventional radial incision. The operation time, intraoperative blood loss, treatment costs and complication rates were compared between the two groups. Results The operative time (36.00 ± 5.55) min in the observation group was shorter than that in the control group (55.00 ± 8.5) min (P <0.05), and the intraoperative bleeding volume (6.80 ± 1.50) ml was less than that in the control group (10.00 ± 3.50) ml (P < 0.05). There was no significant difference in treatment cost between the two groups (P> 0.05). The satisfaction of the observation group (100.00%) was significantly higher than that of the control group (71.43%), the difference was statistically significant (P <0.05). There was no significant difference in complication rates between the two groups (P> 0.05). Conclusion The treatment of axillary folds in upper quadrant and axillary fibroadenoma is feasible.