CAJ | 학술논문

目的探讨乳腺多发性纤维腺瘤的手术方式,为手术治疗乳腺多发性纤维腺瘤提供参考依据.方法对2008年1月-2012年10月复旦大学附属妇产科医院乳腺外科诊治的152例乳腺多发性纤维腺瘤的临床资料进行回顾性分析,均应用术中B超定位、取环乳晕切口、经乳腺皮下脂肪层手术入路,切除乳腺多发性纤维腺瘤.分析手术切口设计、手术步骤及手术效果.结果 152例乳腺多发性纤维腺瘤在B超定位下切除.术后1个月和3个月随访时,评价结果医患双方有分歧(相关系数分别为0.894,P=0.106;0.905,P=0.065),相关性差异无统计学意义.术后12个月随访时,不论患者还是医学观测者(相关系数为0.946,P＜0.001),对胸部外形及瘢痕外观均表示满意(P＜0.05).结论 B超定位下环乳晕切口乳腺皮下脂肪层入路能一次彻底切除乳腺多发性纤维腺瘤,美容效果好,缩短了手术时间,远期疗效肯定,有较好的临床应用价值.
목적 탐토유선다발성섬유선류적수술방식,위수술치료유선다발성섬유선류제공삼고의거.방법 대2008년1월-2012년10월복단대학부속부산과의원유선외과진치적152례유선다발성섬유선류적림상자료진행회고성분석,균응용술중B초정위、취배유훈절구、경유선피하지방층수술입로,절제유선다발성섬유선류.분석수술절구설계、수술보취급수술효과.결과 152례유선다발성섬유선류재B초정위하절제.술후1개월화3개월수방시,평개결과의환쌍방유분기(상관계수분별위0.894,P=0.106;0.905,P=0.065),상관성차이무통계학의의.술후12개월수방시,불론환자환시의학관측자(상관계수위0.946,P＜0.001),대흉부외형급반흔외관균표시만의(P＜0.05).결론 B초정위하배유훈절구유선피하지방층입로능일차철저절제유선다발성섬유선류,미용효과호,축단료수술시간,원기료효긍정,유교호적림상응용개치.
Objective To explore the surgery methods for multiple fibroadenoma of breast,provide a ref erence for the surgical treatment of breast multiple fibroadenoma.Methods The clinical data of 152 cases of breast multiple fibmadenoma admitted from January 2008 to October 2012 in Department of Breast Surgery,Obstetrics and Gynecology Hospital of Fudan University were analyzed retrospectively.All the cases were applied intraoperative B-ultrasound guided,taken the areola incision through breast subcutaneous layer approach for resection of multiple breast fibroadenoma.The surgical incision design,surgical procedures and results of operations were analyzed.Results All 152 cases fibroadenoma were resected which were guided by B-ultrasound with areola incision.One month and three months after operation,the assessment of physician-patient for the scars were different.There was no significance in the Pearson Correlations which were 0.894 (P =0.106) and 0.905 (P =0.065),respectively.But twelve months later,it satisfied with the appearance of scar,either the patients or the doctors (P ＜ 0.05).The Pearson Correlation was 0.946 (P ＜0.001).Conclusions B-ultrasound guided areola incision through the breast subcutaneous layer approach could removal multiple breast fibroadenoma at one time,patients were satisfacted with the good cosmetic results,we believe this operation method has short operation time and good clinical value.