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目的探讨使瘢痕减小和乳房外形不受影响的乳腺良性肿物手术方法。方法采用肿物表面的弧行切口,肿物距乳晕较近的采用乳晕旁弧行切口,不缝合乳腺残腔,4-0可吸收线间断内翻缝合皮下,皮肤用4-0可吸收线连续皮内缝合,然后行加压包扎。所有患者不放置引流,不需拆线。结果全组共行乳腺良性肿物切除术542例,613个病灶,术后切口瘢痕呈线状,无切口感染、切口裂开等并发症发生。术后发生血肿26例(4.24%),经保守治疗治愈,3例(0.49%)因切除范围较大,出现皮肤与胸肌粘连后皮肤有凹陷,其余患者均无乳房变形或乳头移位发生。结论该术式简化了手术步骤,缩短了手术时间,保证了乳房外形的美观。
Objective To investigate the method of surgical treatment of breast benign tumor that can reduce scarring and breast shape. Methods The arc-shaped incision on the surface of the tumor was used. The tumor was located near the areola by paravertebral arc incision. The residual cavity of the breast was not sutured. The 4-0 absorbable line was intervertebrally inverted and sutured subcutaneously. The skin was covered with 4-0 absorbable line Continuous intradermal suture, and then line pressure bandaging. All patients without drainage, without stitches. Results A total of 542 cases of breast benign tumor resection and 613 lesions were performed. The incision scar was linear, incision-free infection and incision rupture occurred. Postoperative hematoma occurred in 26 cases (4.24%), cured by conservative treatment, 3 cases (0.49%) due to a large resection, the skin and chest muscle adhesions after the skin has a depression, the remaining patients without breast deformation or nipple displacement occurred. Conclusion The procedure simplifies the operation procedure, shortens the operation time and ensures the esthetic appearance of the breast.