%0 Journal Article %T 乳晕缘切口在乳腺肿块切除中的应用 %A 王禾 %A 陈守万 %A 何学东 %A 贾叙锋 %J 华西医学 %P 1223-1225 %D 2010 %X 【】目的探讨隐蔽切口行乳腺肿块切除的经验。方法将1990年5月-2008年6月收治844例乳腺肿块患者随机设为观察组564例,采用乳晕缘切口,280例同期采用传统放射状切口的患者作为对照组,比较二者治疗效果。结果术后随访2~12个月,乳晕缘切口患者效果良好,切口瘢痕不显且保持了乳房的圆润外形;采用传统放射状切口的患者,乳房瘢痕宽大、明显。结论在熟悉乳房解剖及外科基本操作技术的基础上,开展乳晕缘切口行乳房肿块切除术是安全可行的,既达到了治疗目的,又符合美学要求,值得临床推广应用。【Abstract】ObjectiveToexplorethemethodofbreastphymasviaperiaeoralincisions.MethodsFromMay1990toJune2008,844patientswithbreastphymaweredividedintotheinvestigationgroup(564patients)andthecontrolgroup(280cases).Incisionaroundareolamammaewasperformedontheformergroup,thetraditionalradialincisionwasperformedonthelattergroup,andthentheresultsofthetreatmentwerecomparedbetweenthetwogroups.ResultsFollow-upvisitrangedfromtwomonthsto1year,allpatientsresultedingoodeffects,concealedscars,andremainingsmoothshapesintheinvestigationgroup,andperiareolarincisionswassimplerandwithlesscomplication.ConclusionItisbothsafeandpracticabletoperformbreastphymaexcisionviaperiareolarincision,onthebasisofgoodunderstandingtobreastanatomyandskillfuloperation.Itcanachievethegoaloftreatmentandmeettherequirementsofaestheticsaswell,andhenceisworthyofbeingrecommendedinclinicalpractice. %K 乳晕缘切口 %K 放射状切口 %K 乳腺肿块 %K 切除术 %U http://www.hxyxqk.com.cn/oa/DArticle.aspx?type=view&id=201007008