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目的评价环乳晕切口在乳腺纤维瘤手术中的应用效果。方法 86例乳腺纤维瘤患者,根据切口类型不同将患者分为观察组与对照组,每组43例。观察组患者采用环乳晕切口,对照组患者采用常规切口,观察两组患者的手术效果及并发症发生情况。结果观察组患者术后切口甲级愈合率为100.0%,对照组患者为97.7%,比较差异无统计学意义(P>0.05)。观察组患者双侧乳房对称率(97.7%)及乳房美容效果满意度(95.3%)均高于对照组患者(81.4%、76.7%)(P<0.05)。观察组患者术后并发症发生率为4.7%,显著低于对照组的23.3%(P<0.05)。结论环乳晕切口在乳腺纤维瘤手术中具有较好的应用效果,可作为一种微创的术式在临床推广应用。
Objective To evaluate the effect of annular ankle incision in the operation of breast fibroadenoma. Methods Totally 86 patients with breast fibroids were divided into observation group and control group according to the type of incision, with 43 cases in each group. The patients in the observation group were treated with circumferential ankle incision while the control group were treated by conventional incision. The surgical effects and complications of the two groups were observed. Results The rate of postoperative grade A incision healed in the observation group was 100.0% and that in the control group was 97.7%. There was no significant difference between the two groups (P> 0.05). The bilateral breast symmetry rate (97.7%) and breast cosmetic satisfaction (95.3%) in the observation group were significantly higher than those in the control group (81.4%, 76.7%, P <0.05). The incidence of postoperative complications in the observation group was 4.7%, which was significantly lower than that in the control group (23.3%, P <0.05). Conclusion Circular areola incision in the operation of breast fibroids has a good effect, as a minimally invasive surgical approach in the clinical application.