中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2012年
7期
23-25
,共3页
经乳晕外周弧形切口%乳腺纤维腺瘤%乳头乳晕感觉异常
經乳暈外週弧形切口%乳腺纖維腺瘤%乳頭乳暈感覺異常
경유훈외주호형절구%유선섬유선류%유두유훈감각이상
Curved incision through the areola%Mammary fibroadenoma%Disorder of nipple and areola
目的 探讨经乳晕外周弧形切口治疗乳腺纤维腺瘤的效果及切口位置与乳头乳晕感觉异常的关系.方法 将郑州大学第三附属医院自2009年8月至2010年8月收治的127例乳腺纤维腺瘤患者随机分成两组(实验组72例,对照组55例),实验组采用经乳晕外周弧形切口,对照组用传统放射状切口或肿块表面经皮纹弧形切口.术后从美容效果、并发症、局部复发率等方面进行临床分析,并进一步分析产生乳头乳晕感觉异常的切口位置分布.结果 实验组术后瘢痕小,美容效果好,并发症与对照组比较差异无统计学意义,乳头乳晕感觉异常与切口位置的选择有关.结论 经乳晕外周弧形切口治疗乳腺纤维腺瘤效果好,可在临床广泛应用.取乳晕内上及外上象限弧形切口易致乳头乳晕感觉异常,手术时应予以重视.
目的 探討經乳暈外週弧形切口治療乳腺纖維腺瘤的效果及切口位置與乳頭乳暈感覺異常的關繫.方法 將鄭州大學第三附屬醫院自2009年8月至2010年8月收治的127例乳腺纖維腺瘤患者隨機分成兩組(實驗組72例,對照組55例),實驗組採用經乳暈外週弧形切口,對照組用傳統放射狀切口或腫塊錶麵經皮紋弧形切口.術後從美容效果、併髮癥、跼部複髮率等方麵進行臨床分析,併進一步分析產生乳頭乳暈感覺異常的切口位置分佈.結果 實驗組術後瘢痕小,美容效果好,併髮癥與對照組比較差異無統計學意義,乳頭乳暈感覺異常與切口位置的選擇有關.結論 經乳暈外週弧形切口治療乳腺纖維腺瘤效果好,可在臨床廣汎應用.取乳暈內上及外上象限弧形切口易緻乳頭乳暈感覺異常,手術時應予以重視.
목적 탐토경유훈외주호형절구치료유선섬유선류적효과급절구위치여유두유훈감각이상적관계.방법 장정주대학제삼부속의원자2009년8월지2010년8월수치적127례유선섬유선류환자수궤분성량조(실험조72례,대조조55례),실험조채용경유훈외주호형절구,대조조용전통방사상절구혹종괴표면경피문호형절구.술후종미용효과、병발증、국부복발솔등방면진행림상분석,병진일보분석산생유두유훈감각이상적절구위치분포.결과 실험조술후반흔소,미용효과호,병발증여대조조비교차이무통계학의의,유두유훈감각이상여절구위치적선택유관.결론 경유훈외주호형절구치료유선섬유선류효과호,가재림상엄범응용.취유훈내상급외상상한호형절구역치유두유훈감각이상,수술시응여이중시.
Objective To investigate the treatment effects of curved incision through the areola on the mammary fibroadenoma and the relationship between selection of incision and disorder of nipple and areola.Methods One hundred and twenty-seven cases of mammary fibroadenoma who were treated in the third affilated hospital of Zhengzhou University from August 2009 to August 2010 were randomly divided into two groups (72 patients in the experimental group,55 patients in the control group).Patients in the experimental group accepted the peripheral curved incision along the areola,patients in the control group accepted traditional radial cut or though the dermatoglyph arc incision.Clinical analysis was made on the cosmetic results,complications,local recurrence rate after surgery,and the reason of disorder of nipple and areola was further analyzed.Results The experimental group had small scar,good cosmetic results,but there was no significant difference compared with control group in complications.But there was relationship between the incision sites and disorder of the nipple and areola.Conclusions The method of curved incision through the areola has perfect clinical effects on mammary fibroadenoma and can be applied in clinical practice.The curved incision through upper outer quadrant areola and quadrant areola upper inter easily leads to disorder of nipple and areola,which should be paid more attention to in operation.
