环乳晕切口术对乳腺纤维瘤患者乳晕区感觉神经功能的影响

董向阳; 黄红梅; 曹余彦

doi:10.7619/jcmp.202023008

环乳晕切口术对乳腺纤维瘤患者乳晕区感觉神经功能的影响

1. 江西省瑞昌市妇幼保健院妇外科, 江西九江, 332200;
2. 九江学院附属医院乳腺科, 江西九江, 332200

基金项目:

江西省卫生健康委科技计划项目(20202050)

详细信息

中图分类号: R737.9;R619
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出版历程
- 收稿日期: 2020-10-12
- 网络出版日期: 2020-12-20

Effect of circumareolar incision surgery on the sensory nerve function of the areola region in patients with breast fibroma

1. Department of Gynecological Surgery, Ruichang City Maternal and Child Health Hospital of Jiangxi Province, Jiujiang, Jiangxi, 332200;
2. Department of Mammary Gland, Affiliated Hospital of Jiujiang University, Jiujiang, Jiangxi, 332200

摘要

摘要: 目的探讨环乳晕切口术对乳腺纤维瘤患者手术指标及乳晕区感觉神经功能的影响。方法将80例乳腺纤维瘤患者随机分为对照组和观察组,每组40例。对照组采取放射状切口术治疗,观察组采取环乳晕切口术治疗,比较2组手术相关指标、乳晕区感觉神经功能状况、瘢痕愈合情况等。结果观察组手术时间、瘢痕长度短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。观察组术后伤口一期愈合率、双侧乳房基本对称率均高于对照组,差异有统计学意义(P<0.05)。观察组术后1 d、术后6个月乳晕区神经功能优于对照组,差异有统计学意义(P<0.05)。观察组术后2、4、6个月瘢痕愈合评分低于对照组,差异有统计学意义(P<0.05)。结论环乳晕切口术治疗乳腺纤维瘤的效果优于放射状切口术,美观效果较好,可减少对乳晕区感觉神经功能的损伤。
- 环乳晕切口术 /
- 乳腺纤维瘤 /
- 神经功能 /
- 放射状切口术 /
- 疤痕
Abstract: Objective To explore the effect of circumareolar incision surgery on surgical indexes and sensory nerve function of the areola region in patients with breast fibroma. Methods A total of 80 patients with mammary fibroma were randomly divided into control group and observation group, with 40 cases in each group. The control group was treated with radial incision surgery, while the observation group was treated with circumareolar incision surgery. The operative indicators, sensory nerve function in the areola area and scar healing were compared between the two groups. Results The operative time and scar length of the observation group were significantly shorter than those in the control group, and the intraoperative blood loss was significantly less than that in the control group(P<0.05). The primary healing rate of postoperative wound and basic symmetry rate of bilateral breasts in the observation group were significantly higher than those in the control group(P<0.05). The nerve function in the areola area of the observation group at 1 day and 6 months after operation was significantly better than that of the control group(P<0.05). The scar healing scores of the observation group at 2, 4 and 6 months after operation were significantly lower than those of the control group(P<0.05). Conclusion Ring-areola incision in the treatment of mammary fibroma has better efficacy than that of radial incision, which has good aesthetics and can reduce the damage of sensory nerve function in the areola area.
- circumareolar incision /
- mammary fibroma /
- neurological function /
- radial incision /
- scar