中国当代医药
中國噹代醫藥
중국당대의약
China Modern Medicine
2015年
29期
73-75
,共3页
乳腺纤维腺瘤%外科手术%乳腺后间隙入路%乳腺下缘切口
乳腺纖維腺瘤%外科手術%乳腺後間隙入路%乳腺下緣切口
유선섬유선류%외과수술%유선후간극입로%유선하연절구
Fibroadenoma of breast%Surgical operation%Retromammary space approach%Inferior breast incision
目的：分析乳腺下缘切口经乳腺后间隙入路术治疗乳腺多发性纤维腺瘤的临床效果。方法选择2013年9月~2015年4月我院收治的48例乳腺多发性纤维腺瘤患者作为研究对象，随机分为对照组和观察组，各24例。对照组患者采用常规手术方法，观察组患者采用乳腺下缘切口经乳腺后间隙手术入路方式，比较两组患者术后切口瘢痕、手术时间、住院时间等情况。结果两组患者均成功完成手术，术后3个月复查(彩超)显示肿瘤全部切除，治疗效果较好。观察组住院时间与对照组比较，差异无统计学意义(P>0.05)；观察组手术时间显著短于对照组，差异有统计学意义(P<0.05)；观察组术后切口瘢痕评分、术后乳房外观满意度评分显著低于对照组，差异有统计学意义(P<0.05)。观察组并发症发生率(0%)显著低于对照组(16.67%)，差异有统计学意义(P<0.05)。观察组总有效率显著高于对照组，差异有统计学意义(P<0.05)。结论乳腺下缘切口经乳腺后间隙入路切除治疗乳腺多发性纤维腺瘤，术后切口瘢痕较为理想，手术效果理想，患者自身满意度较高，应推广该术式。
目的：分析乳腺下緣切口經乳腺後間隙入路術治療乳腺多髮性纖維腺瘤的臨床效果。方法選擇2013年9月~2015年4月我院收治的48例乳腺多髮性纖維腺瘤患者作為研究對象，隨機分為對照組和觀察組，各24例。對照組患者採用常規手術方法，觀察組患者採用乳腺下緣切口經乳腺後間隙手術入路方式，比較兩組患者術後切口瘢痕、手術時間、住院時間等情況。結果兩組患者均成功完成手術，術後3箇月複查(綵超)顯示腫瘤全部切除，治療效果較好。觀察組住院時間與對照組比較，差異無統計學意義(P>0.05)；觀察組手術時間顯著短于對照組，差異有統計學意義(P<0.05)；觀察組術後切口瘢痕評分、術後乳房外觀滿意度評分顯著低于對照組，差異有統計學意義(P<0.05)。觀察組併髮癥髮生率(0%)顯著低于對照組(16.67%)，差異有統計學意義(P<0.05)。觀察組總有效率顯著高于對照組，差異有統計學意義(P<0.05)。結論乳腺下緣切口經乳腺後間隙入路切除治療乳腺多髮性纖維腺瘤，術後切口瘢痕較為理想，手術效果理想，患者自身滿意度較高，應推廣該術式。
목적：분석유선하연절구경유선후간극입로술치료유선다발성섬유선류적림상효과。방법선택2013년9월~2015년4월아원수치적48례유선다발성섬유선류환자작위연구대상，수궤분위대조조화관찰조，각24례。대조조환자채용상규수술방법，관찰조환자채용유선하연절구경유선후간극수술입로방식，비교량조환자술후절구반흔、수술시간、주원시간등정황。결과량조환자균성공완성수술，술후3개월복사(채초)현시종류전부절제，치료효과교호。관찰조주원시간여대조조비교，차이무통계학의의(P>0.05)；관찰조수술시간현저단우대조조，차이유통계학의의(P<0.05)；관찰조술후절구반흔평분、술후유방외관만의도평분현저저우대조조，차이유통계학의의(P<0.05)。관찰조병발증발생솔(0%)현저저우대조조(16.67%)，차이유통계학의의(P<0.05)。관찰조총유효솔현저고우대조조，차이유통계학의의(P<0.05)。결론유선하연절구경유선후간극입로절제치료유선다발성섬유선류，술후절구반흔교위이상，수술효과이상，환자자신만의도교고，응추엄해술식。
Objective To analyze the clinical effect of trans-retromammary space approach operation of inferior breast incision treating multiple fibroadenoma of breast. Methods 48 cases with multiple fibroadenoma of breast treated in our hospital from September 2013 to April 2015 were selected as research objects,and were divided into two groups,the control group and observation group,each group for 24 cases.The observation group was treated with conventional oper-ation,and the control group was treated with trans-retromammary space approach operation of inferior breast incision. The incision scar,operation time and length of stay between two groups was compared. Results The operation between two groups was successful.The reexamination between two groups for 3 months after operation indicated that the tumors were excited,and the treatment effect was good.For the length of stay,there was not evident difference between two groups,with no statistical differenc (P>0.05).For the operation time,the observation group was evidently longer than the control group,with statistical difference (P<0.05).For the postoperative incision scar score and the postoperative breast aspect satisfaction score,the observation group was evidently lower than the control group,with statistical difference (P<0.05).The complication incidence of observation group(0%) was lower evidently than that of control group(16.67%),with statistical difference (P<0.05).The total effective rate of observation group was evidently higher than that of control group.The difference between two groups was evident,with statistical difference (P<0.05). Conclusion Trans-retromam-mary space approach operation of inferior breast incision treating multiple fibroadenoma of breast has the advantages of ideal postoperative incision scar,ideal operation effect and high satisfaction degree,which is worthy of clinical applica-tion and promotion.
