CAJ | 학술논문

目的探讨乳晕旁切口治疗乳腺多发良性肿块美容手术的临床效果.方法选择2014年湖南省人民医院乳甲外科经乳晕旁切口切除乳腺良性肿块患者共406例,其中单纯乳晕旁切口美容术279例,乳晕旁切口联合麦默通旋切术42例,联合美兰染色标记56例,多种联合方式29例,随访其术后并发症、复发率及满意度等情况.结果 (1)单纯乳晕旁切口手术发生术后血肿的概率比乳晕旁切口联合两种或三种方式手术的概率明显较低(P＜0.01).(2)单纯行乳晕旁手术切口的患者满意度比其他各组明显较高(P＜0.01).(3)乳晕旁切口术后总并发症及总复发率均较低,并且乳房美容效果及患者满意度高.结论乳腺旁切口美容手术效果理想,达到外科美学要求,值得临床推广.
목적 탐토유훈방절구치료유선다발량성종괴미용수술적림상효과.방법 선택2014년호남성인민의원유갑외과경유훈방절구절제유선량성종괴환자공406례,기중단순유훈방절구미용술279례,유훈방절구연합맥묵통선절술42례,연합미란염색표기56례,다충연합방식29례,수방기술후병발증、복발솔급만의도등정황.결과 (1)단순유훈방절구수술발생술후혈종적개솔비유훈방절구연합량충혹삼충방식수술적개솔명현교저(P＜0.01).(2)단순행유훈방수술절구적환자만의도비기타각조명현교고(P＜0.01).(3)유훈방절구술후총병발증급총복발솔균교저,병차유방미용효과급환자만의도고.결론 유선방절구미용수술효과이상,체도외과미학요구,치득림상추엄.
Objective To explore the cosmetic effect of periareolar incision treating the multiple benign breast lumps in clinic.Methods A total of 406 cases with benign breast lumps from Hunan Provincial People's Hospital treated by periareolar surgical resection were collected in 2014.Forty two of all cases were treated by periareolar surgical resection combined with mammotome resection,56 of all cases were treated by periareolar surgical resection combined with injecting methylene blue as a mark,and 29 of all cases were treated by combined therapy with three methods above.Follow-up and evaluation were performed about postoperative complications,recurrence rate and patients satisfaction scores using the statistical methods for data analysis.Results (1)The incidence of postoperative hematoma of whom treated only by periareolar surgical resection was significantly lower than that by periareolar surgical resection combined with two or three methods (P ＜ 0.01).(2)The patient satisfaction of whom treated only by periareolar surgical resection was significantly higher than other groups (P ＜0.01).(3)The total postoperative complications and recurrence rate of the patients treated by periareolar surgical resection was low,the cosmetic effect of breast and patient satisfaction was high.Conclusions The cosmetic effect of periareolar incision which treats the multiple benign breast lumps is ideal.It can achieve the requirements of cosmetic surgery.