经乳晕切口行乳腺纤维腺瘤切除术的美学效果及相关影响因素分析(1)
[摘要]目的：探究乳腺纤维腺瘤切除术中采用乳晕切口的美学效果及相关影响因素分析。方法：选取2017年1月-2018年3月80例乳腺纤维腺瘤患者作为研究对象，随机数字表法分为对照组与观察组，各40例。对照组采用传统切除术治疗，观察组采用乳晕切口治疗。术后随访6个月，通过乳头情况、双侧乳房基本对称情况、术后瘢痕情况综合评定，比较两组患者术后美学效果，经单因素及多因素Logistic回归分析影响美学效果的相关危险因素。结果：观察组患者优良率显著高于对照组，差异具有统计学意义(P<0.05)。患者年龄、是否肥胖、是否绝经与乳晕切口术后美学效果有关(P<0.05)。Logistic多因素回归分析显示，年龄≥45岁、肥胖、绝经均是影响乳晕切口术后美学效果的相关危险因素(P<0.05)。结论：乳腺纤维腺瘤患者采用乳晕切口手术治疗，术后乳房和乳头整体外形及双侧对称性良好，且无明显瘢痕，美容效果较满意。
[关键词]乳腺纤维腺瘤;保乳术;乳晕切口;美学效果;影响因素
[中图分类号]R737.9 [文献标志码]A [文章编号]1008-6455(2020)07-0087-04
Abstract： Objective To investigate the aesthetic effects and related influencing factors of the areola incision in breast plastic surgery. Methods Eighty patients with breast fibroadenoma from January 2017 to March 2018 were enrolled in the study. The random number table method was divided into control group and observation group， 40 cases each. The control group was treated with conventional resection and the observation group was treated with areola incision. After 6 months of follow-up， the urinary condition， the bilateral symmetry of the bilateral breasts， and the postoperative scar condition were comprehensively evaluated. The postoperative aesthetic effects of the two groups were compared. The univariate and multivariate logistic regression analysis were used to analyze the risk factors related to the aesthetic effect. Results The excellent rate of patients in the observation group was significantly higher than that in the control group， and the difference was statistically significant (P<0.05). Patient age， obesity， and menopause were related to the aesthetic effect of areola incision (P<0.05). Logistic multivariate regression analysis showed that women aged ≥45 years， obese， and menopausal women were all related risk factors affecting the aesthetic effect of areola incision (P<0.05). Conclusion The patients with breast fibroadenoma are treated with areola incision. The overall shape and bilateral symmetry of the breast and nipple are good， and there is no obvious scar. The cosmetic effect is satisfactory.
Key words： breast fibroadenoma; breast-conserving surgery; areola incision; aesthetic effect; influencing factors
乳腺纖维腺瘤是临床较常见良性肿瘤，好发于20～30岁女性，患病初期常难被发现，常错过最佳治疗时机[1-2]。该疾病的发生与雌激素升高、卵巢功能旺盛具有密切联系[3]。临床常见症状为乳房无痛性肿块，少数患者可出现乳房溢液、疼痛。尽管乳腺纤维腺瘤是良性肿瘤，但少数患者仍可能会发生恶变，影响乳腺正常发育，危害患者健康，因此，及时进行治疗对提高患者生活质量具有重要作用[4-5]。临床通常采用手术方法治疗该疾病[6]。但传统乳房肿瘤切除手术效果往往较差，创伤大，术后易产生瘢痕，影响双侧对称性，在很大程度上影响患者乳腺功能，增加患者的心理负担，影响患者家庭生活。随着人们对美的追求越来越强烈，临床整形医生意识乳房整形术中美容作用具有十分重要的意义[7]。近年来，临床新型乳房整形术有利于降低手术窗孔对乳房整体美观程度的影响，容易被患者接受。因乳晕部的肤色较暗，且具有隐蔽、灵活、创伤区域小等优点，因此，乳晕切口在乳房整形手术中应用较广泛。相关研究显示，乳晕切口手术疗效好、美学效果佳、术后恢复快，且并发症发生率低[8]。为进一步证实该手术方法的美学效果。本研究选取2017年1月-2018年3月80例乳腺纤维腺瘤患者作为研究对象，旨在分析乳腺纤维腺瘤切除术中采用乳晕切口的美学效果及相关影响因素。, 百拇医药(夏冰心 韩涛 胡俊)
[关键词]乳腺纤维腺瘤;保乳术;乳晕切口;美学效果;影响因素
[中图分类号]R737.9 [文献标志码]A [文章编号]1008-6455(2020)07-0087-04
Abstract： Objective To investigate the aesthetic effects and related influencing factors of the areola incision in breast plastic surgery. Methods Eighty patients with breast fibroadenoma from January 2017 to March 2018 were enrolled in the study. The random number table method was divided into control group and observation group， 40 cases each. The control group was treated with conventional resection and the observation group was treated with areola incision. After 6 months of follow-up， the urinary condition， the bilateral symmetry of the bilateral breasts， and the postoperative scar condition were comprehensively evaluated. The postoperative aesthetic effects of the two groups were compared. The univariate and multivariate logistic regression analysis were used to analyze the risk factors related to the aesthetic effect. Results The excellent rate of patients in the observation group was significantly higher than that in the control group， and the difference was statistically significant (P<0.05). Patient age， obesity， and menopause were related to the aesthetic effect of areola incision (P<0.05). Logistic multivariate regression analysis showed that women aged ≥45 years， obese， and menopausal women were all related risk factors affecting the aesthetic effect of areola incision (P<0.05). Conclusion The patients with breast fibroadenoma are treated with areola incision. The overall shape and bilateral symmetry of the breast and nipple are good， and there is no obvious scar. The cosmetic effect is satisfactory.
Key words： breast fibroadenoma; breast-conserving surgery; areola incision; aesthetic effect; influencing factors
乳腺纖维腺瘤是临床较常见良性肿瘤，好发于20～30岁女性，患病初期常难被发现，常错过最佳治疗时机[1-2]。该疾病的发生与雌激素升高、卵巢功能旺盛具有密切联系[3]。临床常见症状为乳房无痛性肿块，少数患者可出现乳房溢液、疼痛。尽管乳腺纤维腺瘤是良性肿瘤，但少数患者仍可能会发生恶变，影响乳腺正常发育，危害患者健康，因此，及时进行治疗对提高患者生活质量具有重要作用[4-5]。临床通常采用手术方法治疗该疾病[6]。但传统乳房肿瘤切除手术效果往往较差，创伤大，术后易产生瘢痕，影响双侧对称性，在很大程度上影响患者乳腺功能，增加患者的心理负担，影响患者家庭生活。随着人们对美的追求越来越强烈，临床整形医生意识乳房整形术中美容作用具有十分重要的意义[7]。近年来，临床新型乳房整形术有利于降低手术窗孔对乳房整体美观程度的影响，容易被患者接受。因乳晕部的肤色较暗，且具有隐蔽、灵活、创伤区域小等优点，因此，乳晕切口在乳房整形手术中应用较广泛。相关研究显示，乳晕切口手术疗效好、美学效果佳、术后恢复快，且并发症发生率低[8]。为进一步证实该手术方法的美学效果。本研究选取2017年1月-2018年3月80例乳腺纤维腺瘤患者作为研究对象，旨在分析乳腺纤维腺瘤切除术中采用乳晕切口的美学效果及相关影响因素。, 百拇医药(夏冰心 韩涛 胡俊)