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乳腺多发性纤维腺瘤实施乳腺下缘切口经乳腺后间隙入路术的临床研究 被引量:6

Clinical study of breast fibroadenoma patients with multiple incision under the breast after breast surgery approach gap
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摘要 目的研究乳腺多发性纤维腺瘤疾病患者采用乳腺下缘切口经乳腺后间隙入路术进行治疗的临床效果.方法选取在漯河医专第一附属医院接受手术治疗的84例乳腺多发性纤维腺瘤疾病患者,以随机分组方式分为对照组和治疗组,每组42例.对照组采用常规手术方式进行治疗,治疗组采用乳腺下缘切口经乳腺后间隙入路术方式进行治疗.对比两组患者在手术前、后瘢痕量表评分的改善幅度、治疗总有效率、手术后出现积液的例数、手术时间和术后住院时间.结果治疗组患者手术后瘢痕量表评分的改善幅度大于对照组(P〈0.05);乳腺纤维瘤疾病手术治疗总有效率为90.48%,高于对照组的69.05%(P〈0.05);手术后仅有1例出现积液,少于对照组的8例(P〈0.05);手术时间和术后住院时间短于对照组(P〈0.05).结论乳腺多发性纤维腺瘤疾病患者采用乳腺下缘切口经乳腺后间隙入路术进行治疗,能够在保证乳房外形美观程度、控制瘢痕的基础上,防止发生术后积液,缩短术后治疗时间. Objective To study the clinical effect of the treatment of breast fibroadenoma patients with multiple incision under the breast after breast surgery approach gap. Methods Eighty-four cases of patients with multiple breast fibroadenoma in our hospital were selected and randomly divided into control group and treatment group, with 42 cases in each group. The control group was treated with conventional surgical treatment, and the treatment group was treated with multiple incision under the breast after breast surgery approach gap. The score of scar scale before and after the surgery, total effective rate, cases of postoperative infection, operation time and postoperative hospitalization time between the two groups were compared. Results The scar scale score improvement of patients in the treatment group before and after surgery was greater than that of the control group ( P〈0.05); the total effective rate in the treatment group was 90.48%, which was higher than 69.05% of the control group ( P〈0.05); after surgery, only 1 case of infection was happened in the treatment group, which was much less than 8 cases of the control group ( P〈0.05). The operation time and postoperative hospitalization time of the treatment group were shorter than those of the control group ( P〈0.05). Conclusion The breast fibroadenoma patients with multiple incision under the breast after breast surgery approach gap could guarantee the beatiful breast appearance, control the degree of scar, prevent postoperative infection, and shorten treatment time.
作者 张旭 刘清泉
出处 《临床研究》 2017年第4期8-9,共2页 Clinical Research
关键词 乳腺多发性纤维腺瘤 乳腺下缘 经乳腺后间隙入路 multiple fibroadenoma of breast lower breast margin posterior approach
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