CAJ | 학술논문

目的：探讨乳腺良性包块手术切除后并发症原因及其对策，为日后临床应用提供依据。方法选取2011年4月-2013年4月医院普外科就诊治乳腺良性包块手术患者84例，随机分为对照组和研究组各42例，分别采用传统辐射状手术切除术和经超声定位后的经乳晕行乳房良性肿块切除术，总结2组患者的手术效果、术后并发症及预防处理对策。结果所有患者均完整切除了包块，术后外形良好，研究组并发症发生率明显低于对照组，差别有统计学意义（ P<0.05），并发症患者对症处理后均治愈，无后遗症出现。结论采用超声定位后，经乳晕行乳房良性肿块切除在达到切除病变组织的同时又可将切口瘢痕局限于乳晕旁，且并发症少，值得在临床推广。
목적：탐토유선량성포괴수술절제후병발증원인급기대책，위일후림상응용제공의거。방법선취2011년4월-2013년4월의원보외과취진치유선량성포괴수술환자84례，수궤분위대조조화연구조각42례，분별채용전통복사상수술절제술화경초성정위후적경유훈행유방량성종괴절제술，총결2조환자적수술효과、술후병발증급예방처리대책。결과소유환자균완정절제료포괴，술후외형량호，연구조병발증발생솔명현저우대조조，차별유통계학의의（ P<0.05），병발증환자대증처리후균치유，무후유증출현。결론채용초성정위후，경유훈행유방량성종괴절제재체도절제병변조직적동시우가장절구반흔국한우유훈방，차병발증소，치득재림상추엄。
Objective To discuss the complications reasons and its countermeasure in surgical resection of benign breast mass,in order to provide the basis for future clinical application. Methods 84 cases of patients undergoing surgical op-eration were randomly divided into control group and treatment group,with 42 cases in each one. The control group was treated with traditional radioaction-shaped surgical resection,while the treatment group was treated with cutting off mass of breast through areola mammae after ultrasound locatization. To summarize the surgical effect,postoperative complications and their prevention and treatment. Results All of the patients had completed resection of the mass in good shape. The complication rate of the treatment group was significantly lower than that of the control group,the difference was statistically significant (P<0. 05). With symptomatic treatment,the complications in patients were cured without sequelae occurred. Conclusion After ultrasound locatization,cutting off mass of breast through areola mammae could excises the diseased tissue and confine scar beside the areola with fewer complications,which is worthy of promotion.