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环乳晕切口乳腺纤维瘤切除术治疗效果分析

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目的 分析环乳晕切口应用于乳腺纤维瘤切除术中的价值以及对治疗效果的影响.方法 选取2022年1月—2023年11月盐城市第三人民医院收治的82例乳腺纤维瘤切除术治疗患者为研究对象,以切口的不同分为对照组(41例,放射状切口)与观察组(41例,环乳晕切口),比较两组围术期指标、局部感觉功能恢复情况、瘢痕形成情况、并发症发生情况.结果 与对照组相比,观察组的手术用时更短、出血更少、疼感更轻、愈合时间与住院时间更短,差异有统计学意义(P均<0.05).观察组的局部感觉神经功能恢复正常率高于对照组,差异有统计学意义(P<0.05).观察组术后半年的瘢痕形成评分低于对照组,差异有统计学意义(P<0.05).观察组的并发症总发生率为7.32%,低于对照组的24.39%,差异有统计学意义(χ2=4.479,P<0.05).结论 在乳腺纤维瘤切除术中做环乳晕切口可确保手术更快、更安全、更有效的进行,可改善术后恢复效果、保证切口美观度、预防多种并发症.
Analysis of the Therapeutic Effect of Circum-areolar Incision Breast Fi-broid Excision
Objective To analyze the value of circum-areolar incision application in breast fibroid excision and its in-fluence on the treatment effect.Methods A total of 82 cases of breast fibroid excision treatment patients admitted to Yancheng Third People's Hospital from January 2022 to November 2023 were selected as the study object,and they were divided into the control group(41 cases,radial incision)and the observation group(41 cases,circum-areolar in-cision)by the difference of the incision.The perioperative indexes,recovery of the local sensory function,and scar for-mation and complications occurred were compared between the two groups.Results Compared with the control group,the observation group had shorter operation time,less bleeding,less pain,shorter healing time and hospitalization time,and the differences were statistically significant(all P<0.05).The local sensation recovery normalization rate of the neurological fumction of the observation group was higher than that of the control group,and the difference was sta-tistically significant(P<0.05).The scar formation score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The total complication rate of the observation group was 7.32%,which was lower than 24.39%of the control group,and the difference was statistically significant(χ2=4.479,P<0.05).Conclusion Making a circum-areolar incision in breast fibroid excision can ensure faster,safer and more effective surgery,improve postoperative recovery,ensure the aesthetics of the incision,and prevent multiple com-plications.

Circum-areolar incisionBreast fibroid excisionTherapeutic effect

刘标、孙乃志、沈加成

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盐城市第三人民医院普外科,江苏盐城 224000

环乳晕切口 乳腺纤维瘤切除术 治疗效果

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(10)