不同路径手术治疗对乳房纤维瘤病人预后与乳头乳晕皮肤感觉的影响

目的:探讨不同路径手术治疗对乳房纤维瘤病人预后与乳头乳晕皮肤感觉的影响。方法:选取乳房纤维瘤女性病人104例，根据随机数字表法分为对照组与观察组，各52例，对照组采用乳晕缘弧形切口入路切除治疗，观察组采用乳晕内弧形切口入路切除治疗。术后对病人进行跟踪随访6~20个月，分析比较2组病人的手术时间、术中出血量、切口大小、住院时间、切口愈合时间、术后并发症、复发率、术后乳头乳晕皮肤感觉恢复时间。结果:观察组的术中出血量显著少于对照组（P<0.01），手术时间显著短于对照组（P<0.01）。2组切口长度差异无统计学意义（P>0.05）。观察组住院时间、切口愈合时间均显著短于对照组（P<0.01），术后并发症发生率、复发率低于对照组（P<0.01和P<0.05），而病人对瘢痕满意度明显高于对照组（P<0.01）。2组术后乳头乳晕皮肤感觉恢复时间差异均无统计学意义（P>0.05）。结论:乳晕内弧形切口入路治疗乳房纤维瘤疗效显著，预后较好，术后乳头乳晕皮肤感觉恢复良好。

Effect of different surgical approaches in the treatment of breast fibroma on the prognosis and nipple-areola cutaneous sensibility

Objective: To explore the effects of different surgical approaches in the treatment of breast fibroma on the prognosis and nipple-areola cutaneous sensibility.Methods: One hundred and four women with breast fibroma were randomly divided into the observation group and control group(52 cases each grop).The control group were treated with arc incision arround areola margin,and the observation group were treated with trans-areola incision.The operation time,perioperative bleeding,incision size,hospital stay,incision healing time,postoperative complications,recurrence rate,and sensory recovery time of the nipple and areola skin between two groups were compared.Results: The intraoperative bleeding and operation time in observation group were significantly less than those in control group(P<0.01).There was no statistical significance in the length of incision between two groups(P>0.05).The time of hospitalization and incision healing in observation group were significantly shorter than those in control group(P<0.01),the incidence rate of postoperative complication and recurrence rate in observation group were significantly lower than those in control group(P<0.01 and P<0.05),and the satisfaction with scar in observation group was significantly higher than that in control group(P<0.01).The difference of the sensory recovery time of nipple and areola skin between two groups was not statistically significant(P>0.05).Conclusions: The trans-areola incision in the treatment of breast fibroma is good effect and prognosis,the nipple-areola cutaneous sensibility is well restored after operation.