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目的探讨采用双环乳晕切口在多中心乳腺良性肿瘤临床外科手术中的应用优势。方法回顾性分析我院肿瘤外科2016年1月-2017年7月收治的45例行“双环乳晕切口”治疗的“多中心乳腺良性肿瘤”的患者。对所有患者的临床病理因素、手术时间、术中出血量、术后拔管时间、并发症以及术后3个月美容效果、6个月后复发率进行评价。结果切除肿瘤数量单侧(5±1)个(2~8个),双侧(8±2)个(3~13个)。肿瘤长径单侧(5.3±1.3)cm(1.5~8.5 cm),双侧(3.0±1.5)cm(1.2~6.5 cm)。术中出血量单侧(8.0±2.8)ml(5~15 ml),双侧(15.4±3.1)ml(10~25 ml)。术后3个月通过门诊和微信随访美容效果,患者满意度在93.3%。术后6个月有37例患者进行彩超复查,其中单侧病变患者22例,复发3例,复发率13.6%;双侧病变患者15例,复发2例,复发率13.3%。结论双环乳晕切口在处理分布在不同象限多发性肿瘤、以及有塑形需求的患者人群中具有一定优势。手术安全性高,操作方便,适合临床推广应用。
Objective To explore the advantages of using double-loop areola incision in clinical surgery of benign breast polycystic breast tumors. Methods We retrospectively analyzed 45 patients with “double-neck areolar incision” treated “polycancer of benign breast tumor” admitted to our department of oncology from January 2016 to July 2017. All patients’ clinical and pathological factors, operation time, intraoperative blood loss, postoperative extubation time, complications and cosmetic effect at 3 months after operation, and the recurrence rate after 6 months were evaluated. Results The number of resected tumors was (5 ± 1) (2 ~ 8) and bilateral (8 ± 2) (3 ~ 13). The major diameter of the tumor was (5.3 ± 1.3) cm (1.5-8.5 cm) and bilateral (3.0 ± 1.5) cm (1.2-6.5 cm). Intraoperative bleeding volume was (8.0 ± 2.8) ml (5-15 ml) and bilateral (15.4 ± 3.1) ml (10-25 ml). After 3 months of follow-up through the clinic and WeChat cosmetic effect, patient satisfaction was 93.3%. Thirty-seven patients were examined by color Doppler ultrasound at 6 months after operation. There were 22 patients with unilateral lesion and 3 patients relapsed with a recurrence rate of 13.6%. There were 15 patients with bilateral lesion and 2 patients relapsed with a recurrence rate of 13.3%. Conclusion Bicyclic areola incisions have some advantages in treating patients with multiple tumors in different quadrants and the need for shaping. High surgical safety, easy operation, suitable for clinical application.