CAJ | 학술논문

目的探讨经乳晕切口治疗多种乳房良性疾病的优势、适应证和手术技巧.方法采用经乳晕切口治疗132例乳腺良性疾病(包括纤维腺瘤 91例,局限性腺体增厚12例,囊肿 8例,乳头溢液 13例, 良性乳腺叶状肿瘤2例,男性乳腺发育症6 例).结果本组术后都得到随访,其中107例对乳房外形和切口满意或非常满意,因觉切口较长不太满意19例,不满意正面切口的有6例.术后1个月复查乳头感觉正常117例,部分麻木15例.切口I/甲愈合130例,因局部血肿延迟愈合2例,无皮缘坏死、切口感染等并发症.结论经乳晕切口可用于治疗多种乳腺良性疾病,并发症少,具有美容优势.在实施该手术的过程中应正确选择适应证、注意解剖层次,术后成型、适当引流、加压包扎都是手术成功需要考虑的因素.
목적 탐토경유훈절구치료다충유방량성질병적우세、괄응증화수술기교.방법 채용경유훈절구치료132례유선량성질병(포괄섬유선류 91례,국한성선체증후12례,낭종 8례,유두일액 13례, 량성유선협상종류2례,남성유선발육증6 례).결과 본조술후도득도수방,기중107례대유방외형화절구만의혹비상만의,인각절구교장불태만의19례,불만의정면절구적유6례.술후1개월복사유두감각정상117례,부분마목15례.절구I/갑유합130례,인국부혈종연지유합2례,무피연배사、절구감염등병발증.결론 경유훈절구가용우치료다충유선량성질병,병발증소,구유미용우세.재실시해수술적과정중응정학선택괄응증、주의해부층차,술후성형、괄당인류、가압포찰도시수술성공수요고필적인소.
Objective To explore the indications, superiority and surgical technique of periareolar approach in the management of benign breast diseases. Methods 132 patients with benign breast disease (91 cases of Fibroadenoma, 12 cases of limited gland hyperplasia, 8 cases of cyst, 2 cases of benign phyllodes tumor and 6 cases of male gynecomastia) underwent operation through areolar incision. Results All patients were followed up for 1-10 months. 107 cases were satisfied with their treatment,19 cases were not quite satisfied with the relatively long incision, and 6 cases were not satisfied with the front incision. The one-month-later reexamination showed that 117 cases feel good and 15 cases had partial numbness of the nipple (15/132, 11.36%). All but two patients wound healing delayed because of local hematoma (2/132, 1.52%). Neither necrosis nor infection was found. Conclusions With the advantages of fewer complications and cosmetic effect, periareolar approach can be applied in management of various benign breast diseases. Factors such as indications, anatomical layer, postoperative molding, appropriate drainage, pressure dressing should be taken into consideration for the success of operation.