临床肿瘤学杂志

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改良式双环乳晕切口在多中心乳腺纤维腺瘤中的应用优势探讨

张明亮,金功圣,钱军
  

  1. 233030 安徽蚌埠 蚌埠医学院第一附属医院肿瘤外科
  • 收稿日期:2017-02-28 修回日期:2017-04-11 出版日期:2017-06-30 发布日期:2017-06-30

Advantages of modified double-ring areola incision in the application of multicenter breast fibroadenoma operation

ZHANG Mingliang, JIN Gongshen, QIAN Jun   

  1. Department of Oncology Surgery, the First Affiliated Hospital of Bengbu Medical College,Bengbu 233030, China
  • Received:2017-02-28 Revised:2017-04-11 Online:2017-06-30 Published:2017-06-30

摘要: 目的 对比分析改良式双环乳晕切口与经乳晕切口在多中心乳腺纤维腺瘤中的应用效果。方法 回顾性分析2016年1月至2016年12月40例多中心乳腺纤维腺瘤患者的临床资料。其中双环乳晕切口组与经乳晕切口组各20例。通过对术中和术后相关数据比较,分析2种方法的优劣。结果 两组患者年龄、肿瘤部位的差异无统计学意义(P>0.05)。双环法组相比经乳晕切口组,切除肿瘤数量较多,肿瘤较大,出血量较少,差异有统计学意义(P<0.05)。而在手术时间和术后拔管时间上,两组差异无统计学意义(P>0.05)。两组手术方式术后美容效果的差异无统计学意义(P>0.05),临床满意度均在90%以上。结论 相比经乳晕切口,改良式双环乳晕切口在处理乳腺不同象限纤维腺瘤、肿瘤(或腺体)较大(多)、经乳晕切口显露困难以及需要术中即刻腺体再塑形时更具优势。

Abstract: Objective To investigate the advantages of clinical application between modified double ring areola incision and ordinary areola incision in multi-center breast fibroadenoma operation. Methods The data of forty patients diagnosed as multi-center breast fibroadenoma from January 2016 to December 2016 were reviewed. Among them, 20 were in modified double ring areola incision group and 20 in ordinary areola incision group. The advantages and disadvantages of the two approaches were compared. Results There was no significant difference in age, tumor distribution,operation time and extubation time between the two groups(P>0.05). Compared with ordinary areola incision group, double ring incision group showed the advantages of greater number and size of tumors, and less amount of blood loss(P<0.05). In addition,the two approaches both showed cosmetic results with clinic satisfactory rate over 90%. Conclusion Compared with theordinary areola incision,the modified double ring areola incision shows advantages in the treatment of tumor distributed in different quadrants, especially larger tumors. For glands need immediate remodeling in the operation, double ring approach is more feasible.

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