临床普外科电子杂志 ›› 2025, Vol. 13 ›› Issue (1): 38-.

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经乳晕切口手术治疗乳腺纤维瘤的效果评价

  

  1. 泰州市人民医院 甲乳外科,江苏 泰州 225300
  • 出版日期:2025-01-01 发布日期:2025-03-12

Evaluation of the eff ect of surgical treatment of breast fi broadenoma through areola incision

  1. Thyroid and Breast Surgery Department of Taizhou People’s Hospital, Jiangsu Taizhou 225300, China
  • Online:2025-01-01 Published:2025-03-12

摘要:

目的 探讨经乳晕切口手术治疗乳腺纤维瘤的临床效果。方法 选取 2022 年 5 月至 2024 年 4月泰州市人民医院收治的 70 例乳腺纤维瘤患者,均为女性,根据随机抽样原则分为研究组及对照组,各35 例。对照组行传统乳腺纤维瘤切除术,研究组行经乳晕切口乳腺纤维瘤切除术,比较两组患者围手术期情况,术后切口恢复情况、生命质量,以及并发症及复发情况。结果 研究组患者的术中出血量及住院天数均少于对照组,切口长度短于对照组;且研究组患者的总有效率为 97.14%,显著高于对照组(82.86%),差异均有显著性(P < 0.05)。研究组患者术后 1 个月、3 个月的温哥华瘢痕评估量表评分、欧洲癌症研究与治疗组织生命质量测定量表评分明显低于对照组,研究组患者的并发症发生率、复发率分别为 2.86%(1/35)、0,均显著低于对照组 [ 分别为17.14%(6/35)、11.43%(4/35)],差异均有显著性(P < 0.05)。结论 应用经乳晕切口乳腺纤维瘤切除术治疗效果显著,有利于减少损伤,加快恢复,改善美观度,提高患者生命质量。

关键词: 乳腺纤维瘤, 经乳晕切口, 疗效

Abstract:

Objective To explore the clinical eff ect of surgical treatment of breast fi broadenoma through areola incision. Method 70 female patients with breast fi broadenoma admitted to Taizhou People’s Hospital from May 2022 to April 2024 were selected and randomly divided into a study group and a control group, with 35 cases in each group. The control group underwent traditional breast fi broadenoma resection, while the study group under-went areola incision breast fi broadenoma resection. The perioperative conditions, postoperative incision recovery, quality of life, as well as complications and recurrence were compared between the two groups of patients. Result The intraoperative blood loss and length of hospital stay in the study group were less than those in the control group, and the incision length was shorter than that in the control group; And the total eff ective rate of the study group patients was 97.14%, signifi cantly higher than the control group (82.86%), with signifi cant diff erences (P < 0.05). The Vancouver Scar Scale score and European Organization for Research and Treatment Quality of Life Questionnaire score of patients in the study group were signifi cantly lower than those in the control group at 1 and 3 months after surgery. The incidence of complications and recurrence rate of patients in the study group were 2.86% (1/35) and 0, respectively, which were signifi cantly lower than those in the control group [17.14% (6/35) and 11.43% (4/35), respectively], and the diff erences were signifi cant (P < 0.05). Conclusion The application of the areola incision for breast fi broadenoma resection has a signifi cant therapeutic eff ect, which is benefi cial for reducing damage, accelerating recovery, improving aesthetics, and enhancing patients’ quality of life.

Key words: Fibroadenoma of the breast, Incision through the areola, Curative eff ect