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经乳晕切口乳腺良性肿瘤切除术中腺体残端处理方式对疗效的影响

王畏 王滔 张磊 张立功 张杰

局解手术学杂志2024,Vol.33Issue(4):315-318,4.
局解手术学杂志2024,Vol.33Issue(4):315-318,4.DOI:10.11659/jjssx.06E023023

经乳晕切口乳腺良性肿瘤切除术中腺体残端处理方式对疗效的影响

Effect of treatment methods of glandular stump on curative effect in benign breast tumor resection through areola incision

王畏 1王滔 1张磊 1张立功 2张杰1

作者信息

  • 1. 蚌埠医学院第二附属医院肿瘤外科,安徽 蚌埠 233000
  • 2. 蚌埠医学院第一附属医院肿瘤外科,安徽 蚌埠 233000
  • 折叠

摘要

Abstract

Objective To compare the clinical effects of two treatment methods of open the gland stump and suture the gland stump for benign breast tumor resection through areola incision.Methods A total of 82 patients with benign breast tumor admitted to the Second Affiliated Hospital of Bengbu Medical College from July 2020 to June 2022 were selected,all of them underwent benign breast tumor resection through areola incision.According to the different treatment methods during operation,they were divided into open the gland stump group(42 cases)and suture the gland stump group(40 cases).The operation time,intraoperative blood loss,suture removal time,lump absorption time,incision healing rate,breast deformation rate,postoperative bleeding rate,tumor recurrence rate 12 months after operation and pain visual analogue scale(VAS)scores 6 hours,12 hours and 24 hours after operation of patients in the two groups were compared.Results There was no significant difference in the operation time,intraoperative blood loss or suture removal time of patients between the two groups(P>0.05).The lump absorption time in open the gland stump group was significantly shorter than that in suture the gland stump group,and the difference was statistically significant(P<0.05).The breast deformation rate in open the gland stump group was lower than that in suture the gland stump group,and the difference was statistically significant(P<0.05).There was no significant difference in the incision healing rate,postoperative bleeding rate,tumor recurrence rate or VAS score 12 months after operation of patients between the two groups(P>0.05).Conclusion Open the gland stump during benign breast tumor resection through areola incisioncan accelerate the absorption of lump and keep a good shape of breast,which is worthy of clinical promotion.

关键词

经乳晕切口/乳腺良性肿瘤/腺体残端

Key words

transareolar incision/benign breast tumor/gland stump

分类

医药卫生

引用本文复制引用

王畏,王滔,张磊,张立功,张杰..经乳晕切口乳腺良性肿瘤切除术中腺体残端处理方式对疗效的影响[J].局解手术学杂志,2024,33(4):315-318,4.

基金项目

安徽省高校自然科学研究重点项目(KJ2021A0755) (KJ2021A0755)

蚌埠医学院自然科学重点项目(2021zrkxzd202) (2021zrkxzd202)

蚌埠医学院转化医学重点专项项目(BYTM2019050) (BYTM2019050)

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