Clinical analysis of surround-mammary areola incision in the surgery of mammary fibroadenoma
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摘要: 目的 对比环乳晕切口手术方式和传统放射状切口手术方式,观察乳腺纤维腺瘤患者的疗效,以分析环乳晕切口手术的临床价值。 方法 选择2013年1月—2015年1月经乳腺B超、乳腺钼靶、乳腺细针穿刺细胞学检查诊断为乳腺纤维瘤的患者100例,根据手术切口的不同分为实验组50例和对照组50例,实验组采取环乳晕切口的手术方式,而对照组采取传统放射状切口的手术方式,比较2组患者的临床疗效、术后美观效果、并发症和复发情况。所有数据应用SPSS 18.0统计学软件进行分析,采用χ2检验,以P<0.05为差异具有统计学意义。 结果 在临床疗效方面,实验组的总体有效率高达94.00%,明显高于对照组(66.00%),差异具有统计学意义(χ2=12.500,P<0.001);在美观效果方面上,实验组满意度为96.00%,明显高于对照组的72.00%,差异具有统计学意义(χ2=10.714,P=0.001);而在并发症方面,实验组的总体并发率仅为6.00%(血肿2例,乳晕感觉异常1例)远低于对照组的22.00%(血肿6例、乳晕感觉异常3例,乳头溢液2例),差异具有统计学意义(χ2=5.316,P=0.021);在复发情况方面,实验组复发率仅为4.00%,明显低于对照组的18.00%,差异具有统计学意义(χ2=5.005,P=0.025)。 结论 对比传统放射状切口手术方式,环乳晕切口手术方式治疗可以有效地治疗乳腺纤维腺瘤,不仅临床效果好,而且美观,并发症少,复发率低,值得在临床上推广。Abstract: Objective To compared the operation method of surround-mammary areola incision with traditional radial incision operation and analyze the clinical effects of mammary fibroadenoma to provide the clinical value of surround-mammary areola incision. Methods From January 2013 to January 2015,100 patients who were diagnosed with mammary fibroadenoma by breast ultrasound,breast molybdenum target,and breast fine needle aspiration cytology,were divided into two groups,the experiment group(50 cases) and the control group(50 cases),by digital random method .The experiment group take the method of surround-mammary areola incision operation,however,the control group adopt the way of the traditional radial incision operation,and the clinical curative effect and beautiful effect,complications,and postoperative recurrence were compared.We adopted the SPSS 18.0 and statistically analyzed all data by χ2 test,P<0.05 statistically significant. Results The experimental group’s overall efficiency is 94.00%,significantly higher than that of control group(66.00%) at the aspect of clinical efficacy and its difference was statistically significant(χ2=12.500,P<0.001);the experiment group’s satisfaction was 96.00% higher than that of the control group in beautiful effect and its difference was statistically significant(χ2=10.714,P=0.001);however,in respect of complications,the group’s overall concurrent rate is only 6.00%(2 cases of hematoncus,1 case of areola paresthesia)far lower than the control group(22.00%,6 cases of of hematoncus,3 cases of areola paresthesia,2 cases of nipple discharge) and its difference was statistically significant(χ2=5.316,P=0.021);in terms of relapse,the experimental group recurrence rate was only 4.00%,significantly lower than 18.00% in the control group,and the above mentioned difference was statistically significant (χ2=5.005,P=0.025). Conclusion Compared with traditional radial incision operation,the method of surround-mammary areola incision operation can effectively treat mammary fibroadenoma,and its clinical and beautiful effect is good,the complications and recurrence rate is low,so it is worth popularizing in the clinic practice.
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Key words:
- Surround-mammary areola incision /
- Mammary fibroadenoma /
- Clinical effect
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