乳晕旁切口结合整形治疗乳腺良性病变的临床疗效分析

目的探讨乳晕旁切口结合整形治疗乳腺良性病变的临床疗效。方法选取乳腺良性肿块病人60例，按手术入路不同分为2组，观察组30例采取乳晕旁切口结合整形技术治疗，对照组30例采取传统的放射状手术切口治疗。比较2组手术时间、术中出血量、切口长度、切口愈合情况及术后半年肿块复发率，以及切口瘢痕增生情况和病人对乳房外形满意度等。结果2组病人均手术顺利，术后切除肿物病理检查均为良性病变。观察组切口长度明显小于对照组（P < 0.01）；2组手术时间、术中出血量和切口愈合时间差异均无统计学意义（P>0.05）。术后随访6个月，2组病人术后均无肿块复发，亦无乳头凹陷发生。观察组病人术后切口温哥华瘢痕量表评分明显低于对照组（P < 0.01），术后对乳房外形满意度明显高于对照组（P < 0.01）。结论与传统放射状切口相比，乳晕旁切口结合整形治疗乳腺良性病变具有切口隐蔽、切口小及术后乳房外形美观等优点，值得临床应用推广。

Analysis of the clinical effect of paraareola incision combined with plastic surgery in the treatment of benign breast lesions

ObjectiveTo investigate the clinical effects of paraareola incision combined with plastic surgery in the treatment of benign breast lesions.MethodsSixty patients with benign breast lesions were randomly divided into the observation group and control group according to different surgical approaches(30 cases in each group).The observation group was treated with paraareolar incision combined with plastic therapy, and the control group was treated with radial incision therapy.The duration of operation, intraoperative blood loss, incision healing, tumor recurrence rate within postoperative half a year, incision scar hyperplasia and patients' satisfaction with breast shape were compared between two groups.ResultsTwo groups were operated successfully, and the pathological examination of the tumor was benign.The incision length in observation group was significantly smaller than that in control group(P < 0.01).There was no statistical significance in the operation time, intraoperative blood loss and incision healing time between two groups(P>0.05).After 6 months of following-up, there was no tumor recurrence or nipple depression in two groups.The postoperative vancouver scar scale score in observation group was significantly lower than that in control group(P < 0.01), and the postoperative satisfaction with the breast shape in observation group was significantly higher than that in control group(P < 0.01).ConclusionCompared with the traditional radial incision, the para-areolar incision combined with plastic surgery in the treatment of benign breast lesions has the advantages of hidden incision, small trauma and beautiful breast appearance, which is worthy of clinical application and promotion.