首页|环乳晕切口手术对乳腺良性肿瘤切除术后并发症和乳房美观度的影响

环乳晕切口手术对乳腺良性肿瘤切除术后并发症和乳房美观度的影响

Effects of surround-mammary areola incision surgery on postoperative complications and breast aesthetics after benign breast tumor excision

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目的 探讨环乳晕切口手术对乳腺良性肿瘤切除术后并发症和乳房美观度的影响.方法 回顾性分析210例行乳腺良性肿瘤切除术女性患者的临床资料,按手术切口方式的不同分为环乳晕切口手术组(环乳晕组)和放射状切口手术组(传统组),每组105例.比较两组手术相关资料,包括术后并发症发生情况和乳房美观度.结果 两组手术时间、术中出血量和切口长度比较无统计学差异(P>0.05).环乳晕组切口一期愈合率高于传统组(96.19%vs.81.90%)(P<0.05),术后切口愈合时间和住院时间均短于传统组[(6.84±1.56)d vs.(8.59±2.31)d和(5.31±1.35)d vs.(8.04±2.18)d](P<0.05).环乳晕组术后并发症发生率低于传统组(5.71%vs.17.14%)(P<0.05).环乳晕组术后6个月温哥华瘢痕量表评分低于传统组[(5.48±1.52)分vs.(7.34±2.16)分](P<0.05),乳房美观度优于传统组(P<0.05).结论 对乳腺良性肿瘤切除患者采用环乳晕切口手术能缩短术后切口愈合时间,减少术后并发症发生风险,提高乳房美观度.
Objective To investigate the effects of surround-mammary areola incision surgery on postoperative complications and breast aesthetics after benign breast tumor excision.Methods The clinical data of 210 female patients underwent benign breast tumor excision were retrospectively analyzed.According to the different surgical incision methods,the patients were divided into two groups of A(underwent surround-mammary areola incision surgery)and C(underwent conventional radial incision surgery)with 105 cases each.The operation-related data including the occurrence of postoperative complications and breast aesthetics were compared between the two groups.Results There were no significant differences in operation time,intraoperative blood loss and incision length between the two groups(P>0.05).The first stage healing rate of the incision in group A was higher than that in group C(96.19%vs.81.90%)(P<0.05).The postoperative incision healing time and hospital stay were shorter in group A than those in group C[(6.84±1.56)days vs.(8.59±2.31)days and(5.31±1.35)days vs.(8.04±2.18)days](P<0.05).The incidence of postoperative complications in group A was lower than that in group C(5.71%vs.17.14%)(P<0.05).At 6 months after surgery,Vancouver Scar Scale score of group A was less than that of group C[(5.48±1.52)points vs.(7.34±2.16)points](P<0.05).The breast aesthetics of group A was better than that of group C(P<0.05).Conclusion Surround-mammary areola incision surgery has the advantages of shortening the postoperative incision healing time,reducing the risk of postoperative complications,and improving breast aesthetics in the patients undergoing benign breast tumor excision.

Surround-mammary areola incision surgeryBenign breast tumorPostoperative complication

江元、沈辉辉、陆可、董其峰、姚冠羽

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310023 浙江,杭州市西溪医院普外科

环乳晕切口手术 乳腺良性肿瘤 术后并发症

杭州市生物医药和健康产业发展扶持科技专项建设项目

2021WJCY364

2024

江苏医药
江苏省人民医院(南京医科大学第一附属医院)

江苏医药

影响因子:0.707
ISSN:0253-3685
年,卷(期):2024.50(6)