目的

研究乳腺纤维瘤(距乳晕边缘＞3.0 cm)采用乳晕边缘切口的可行性。

方法

把220 例乳腺纤维瘤(距乳晕边缘＞3.0 cm)患者,分为采用乳晕边缘切口的实验组(120 例)和采用传统开放手术切口的对照组(100 例)。 随访时记录两组患者术后3 个月时的疤痕大小、以后能否哺乳、术后血肿或瘀斑大小等。 用SPSS 13.0 软件包,采用χ²检验,进行统计学处理。

结果

所有切口均甲级愈合,术后6 ～7 d 拆线。 对照组切口瘢痕≤0. 2 cm 20 例(20%,20/100),实验组乳晕边缘切口瘢痕≤0.2 cm 90 例(75%,90/120),两组之间差异有统计学意义(χ²=66.00, P=0.00)。 乳腺纤维瘤患者采用乳晕边缘切口可使瘢痕减少,但不能哺乳的发生率、血肿或瘀斑大小与传统切口相似。

结论

对乳腺纤维瘤(距乳晕边缘＞3.0 cm)手术采用乳晕边缘切口是安全可行的,能取得治疗及美容的双重效果。

Objective

To assess the feasibility of periareolar incision in surgery for breast fibroadenoma.

Methods

Totally 220 patients with breast fibroadenoma over 3 cm away from areola were divided into an experimental group (n=120) and a control group (n=100). The patients were operated on with periareolar incision in the experimental group,and with conventional open operative incision in the control group. The patients were regularly fouowed up. The scar size in the 3-month follow-up, capability of breast-feeding, and size of hematoma or ecchymosis were recorded. All data were analyzed by χ² test using SPSS 13.0 software.

Results

The incision healed well in all patients. The suture was removed 6-7 days after operation. The size of scar was ≤0.2 cm in 90 patients of the experimental group,and in 20 cases of the control group. The difference was significant(χ²=66.00, P=0.00).Both groups had similar complication rates, such as lactation loss and hematoma.

Conclusions

The periareolar incision for breast fibroadenoma(the distance from areola ＞3.0 cm) is safe and effective. It can reduce residual scar and improve the cosmetic outcome.