远离乳晕的乳腺纤维瘤手术切口的改进

目的了解远离乳晕的乳腺纤维瘤用乳晕边缘切口的可行性。方法收治约220例肿物距乳晕边缘大于3 cm的乳腺纤维瘤手术病人,分为实验组（120例）和对照组（100例）。实验组采用乳晕边缘切口,对照组采用传统开放手术切口。观察两组病人术后疤痕大小、能否哺乳、血肿有无、拆线时间长短、手术时间长短作为检测指标。结果所有切口均甲级愈合,术后6～7 d拆线。对照组传统切口疤痕宽0.2 cm及以下（小于等于0.2 cm）的有20例（20%）,实验组乳晕边缘切口疤痕宽0.2 cm及以下的有90例（75%）,两组之间差异有统计学意义（P〈0.01）。两组的不能哺乳发生率、血肿、拆线时间相似,实验组手术时间较对照组延长。结论乳晕边缘切口应用于远离乳晕的乳腺纤维瘤手术中是安全可行的,能取得治疗及美容双重效果。

Improvement of incision in breast fibroadenoma far from mammary areola

Objective To investigate the feasibility of using mammary areola edge incision for breast fibroadenoma far from mammary areola.Methods Totally 220 patients with breast fibroadenoma 3 cm far from mammary areola edge were collected and divided into experiment group（n=120） and control group（n=100）.Mammary areola edge incision was applied in experiment group while traditional incision was used in control group.Indexes of scar,lactation,hematoma,disconnect time and operation time were observed.Results All incisions were recovered well,disconnection was conducted within 6～7 days after operation.Twenty cases（20%） and 90 cases（75%） with scar size less than 0.2 cm were observed in control group and experimental group respectively,statistic differences between the two groups were existed（P0.01）.Indexes of lactation,hematoma,disconnect time were similar between the two groups.Operation time was longer in experiment group than that in control group.Conclusions It＇s safe and feasible to use mammary areola edge incision for breast fibroadenoma far from mammary areola.Both therapeutic and cosmetic effects can be achieved.