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经乳晕缘小切口手术治疗乳腺良性肿瘤的临床观察
引用本文:陈星宇. 经乳晕缘小切口手术治疗乳腺良性肿瘤的临床观察[J]. 河北医学, 2014, 0(5): 777-780
作者姓名:陈星宇
作者单位:四川省成都市蜀都乳腺医院,四川 成都610091
摘    要:目的:探讨经乳晕缘小切口治疗乳腺良性肿瘤的临床效果及患者满意度。方法:选择符合标准的患者80例,随机分为观察组和对照组各40例,观察组应用经乳晕缘小切口治疗,对照组采用传统放射状切口治疗,比较二者手术情况及患者满意度。结果:观察组患者手术时间及术中出血量略高于对照组,但差异无显著性( P>0.05)。观察组在手术切口长度、切口愈合质量及愈合时间、瘢痕宽度及术后并发症,均优于对照组,差异有统计学意义( P<0.05)。观察组患者满意率95.00%,明显高于对照组的70.00%,差异存在显著性( P<0.05)。结论:经乳晕缘小切口手术治疗乳腺良性肿瘤安全可靠,术后瘢痕不明显,更符合女性对胸部审美的要求。

关 键 词:乳晕缘入路  小切口  良性肿瘤  乳腺肿瘤

Clinical Observation on Surgery Through a Minimal Incision Around Areola Mammae in Treatment of Benign Tumor of Mammary Glands
Affiliation:CHEN Xing ( Shudu Mastopathy Hospital of Chengdu, Sichuan Chengdu 610091, China)
Abstract:Objective:To investigate the clinical effects of surgery through a minimal incision around a-reola mammae on benign tumor of mammary glands and the degree of satisfaction of the patients .Method:80 eligible patients were selected and randomly divided into observation group and control group , 40 patients in each group;the observation group was treated with surgery through a minimal incision around areola mam-mae, while the control group treated with surgery through traditional radiated incisions , and the operative conditions and the degrees of satisfaction of the patients of the two groups were compared .Result:The opera-tive time and intra-operative blood loss in the patients of the observation group was slightly higher than those of the control group, but the differences were statistically insignificant ( P>0.05).The operative incision length , incision healing quality and healing time , scar width and postoperative complication in the patients of the observation group were all better than those of the control group , and the differences were statistically sig-nificant (P<0.05).The percentage of satisfaction in the patients of the observation group was 95.00%, sig-nificantly higher than that of the control group (70.00%), and the difference was statistically significant (P<0.05) .Conclusion:Surgery through a minimal incision around areola mammae in treatment of benign tumor of mammary glands is safe and reliable , and causes insignificant postoperative scars , which can better meet the esthetic requirement of the patients .
Keywords:Incision around areola mammae  Minimal incision  Benign tumor  Breast neoplasm
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