贵州医科大学学报

2019, v.44;No.224(05) 616-620

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环乳晕切口及放射状切口术对乳腺纤维瘤的疗效及乳晕区感觉神经功能的影响
Therapeutic Effect of Circular Areola Incision and Radial Incision on Breast Fibroma and Its Influence on Sensory Nerves in Areola

陈春春;张露露;彭德峰;崔振;王岩岩;王彬彬;董慧明;
CHEN Chunchun;ZHANG Lulu;PENG Defeng;CUI Zhen;WANG Yanyan;WANG Binbin;DONG Huiming;The First Affiliated Hospital of Bengbu Medical College;

摘要(Abstract):

目的:探讨环乳晕切口及放射状切口术对乳腺纤维瘤的疗效及乳晕区感觉神经功能的影响。方法:80例乳腺纤维瘤患者,根据手术方式均分为环乳晕切口组(环乳晕切口术)和放射状切口组(放射状切口术);比较两组患者的手术时间、术中出血、手术瘢痕长度及住院时间,比较两组患者术后瘢痕愈合评分、乳腺外形满意度评分、并发症、哺乳率及术后1 d、6个月时乳晕区感觉功能变化,术后6个月评价两组患者的治疗效果。结果:环乳晕切口组的手术时间显著长于放射状切口组、术中出血量显著多于放射状切口组,而手术瘢痕长度显著短于放射状切口组(P<0.05);环乳晕切口组患者术后瘢痕愈合评分显著低于放射状切口组、乳腺外形满意度评分显著高于放射状切口组(P<0.05);环乳晕切口组术后1d及6个月时的晕区感觉功能正常占比均显著高于放射状切口组(P<0.05),两组患者术后哺乳率比较,差异无统计学意义(P>0.05),环乳晕切口组的手术治疗总有效率(95.00%)显著高于放射状切口组(75.00%,P<0.05),环乳晕切口组患者术后并发症总发生率(7.50%)显著低于放射状切口组(30.00%,P<0.05)。结论:环乳晕切口手术治疗乳腺纤维瘤的疗效优于放射状切口手术,对乳晕区感觉神经功能损伤较小、术后美观性更好。
Objective: To explore the efficacy of circumferential areola incision and radial incision in the treatment of breast fibroma and its influence on sensory nerves in the areola area. Methods: 80 patients with breast fibroma who were scheduled for surgery were randomly divided into the ring-shaped areola incision group and the radial incision group(40 cases each).The surgery were respectively performed using a ring areola incision and a radial incision. The surgical outcome, postoperative complications, sensory changes in the areola area, breast appearance satisfaction, and postoperative lactation rate were compared between the two groups. Results: Compared with the radial incision group, the operation time of the ring areola incision group was significantly longer, the intraoperative blood loss was significantly higher, and the scar length was significantly shorter(P<0.05).The scores of scar healing in ring-shaped areola incision group were significantly lower than those in radial incision group, and the satisfaction score of breast shape was significantly higher than that in radial incision group(P<0.05).The proportion of normal sensory function in the annular areola incision group was significantly higher than that in the radial incision group at 1 d and 6 months after operation(P<0.05).There was no significant difference in postoperative lactation rates between the two groups(P>0.05).The total effective rate of surgery in ring-shaped areola incision group was 95.00%, which was significantly higher than that in radial incision group(75.00%, P<0.05).The total postoperative complication rate was 7.50% in ring-shaped areola incision group, which was significantly lower than that in radial incision group(30.00%, P<0.05). Conclusion: Compared with radial incision surgery, ring areola incision is more effective in the treatment of breast fibroids, less damage to the sensory nerves in the areola area, less complications, and better postoperative aesthetics, and there was no significant effect on postoperative breast-feeding.

关键词(KeyWords): 乳腺纤维瘤;放射状切口;环乳晕切口;乳晕;感觉神经;哺乳
breast fibroma;radial incision;ring areola incision;areola area;sensory nerve;breast-feeding

Abstract:

Keywords:

基金项目(Foundation): 安徽高校自然科学研究项目(KJ2015B097by);; 安徽省教育厅高等教育振兴计划人才项目[皖教秘人(2014)181号]

作者(Author): 陈春春;张露露;彭德峰;崔振;王岩岩;王彬彬;董慧明;
CHEN Chunchun;ZHANG Lulu;PENG Defeng;CUI Zhen;WANG Yanyan;WANG Binbin;DONG Huiming;The First Affiliated Hospital of Bengbu Medical College;

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DOI: 10.19367/j.cnki.1000-2707.2019.05.024

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