两种切口切除乳腺纤维腺瘤的临床研究。
A clinical study on the resection of breast fibroadenoma using two types of incision.
机构信息
Department of Breast, Nanjing Maternity and Child Health Hospital of Nanjing Medical University, Nanjing, China.
出版信息
Scand J Surg. 2011;100(3):147-52. doi: 10.1177/145749691110000302.
BACKGROUND AND AIMS
Breast fibroadenoma (FA) is traditionally managed by FA excision through an overlying incision (FETOI). FA excision through a periareolar incision (FETPI) has been developed, paying special attention to incision location to preserve cosmesis. The purpose of this article is to discuss the FETPI technique.
METHODS
The clinical data of 76 patients who underwent FETPI (98 FAs, group A) and 82 patients who underwent FETOI (122 FAs, group B) were retrospectively analyzed in this non-randomized study. Early postoperative complications, nipple sensation loss, and cosmetic results were compared between the two groups. The techniques, indications, and special considerations of the FETPI technique were described and identified.
RESULTS
The FETPI technique was associated with more early postoperative complications (7/76 vs. 2/82, p = 0.067) and more nipple sensation losses (15/76 vs. 7/82, p = 0.042) than those of the FETOI technique. Cosmetic assessment at 6 months demonstrated statistically more excellent/good results in group A than in group B (62/76 vs. 50/82, p = 0.004).
CONCLUSION
The FETPI technique yields superior cosmetic results with minor postoperative complications.
背景与目的
乳腺纤维腺瘤（FA）传统上通过上方切口切除纤维腺瘤（FETOI）进行治疗。通过乳晕旁切口切除纤维腺瘤（FETPI）的方法已经得到了发展，特别注意切口位置以保持美观。本文旨在讨论 FETPI 技术。
方法
本非随机研究回顾性分析了 76 例行 FETPI（98 个 FA，A 组）和 82 例行 FETOI（122 个 FA，B 组）的患者的临床资料。比较两组患者的早期术后并发症、乳头感觉丧失和美容效果。描述并确定了 FETPI 技术的技术、适应证和特殊注意事项。
结果
FETPI 技术与 FETOI 技术相比，早期术后并发症（7/76 比 2/82，p=0.067）和乳头感觉丧失（15/76 比 7/82，p=0.042）更多。6 个月时的美容评估显示 A 组的优秀/良好结果明显多于 B 组（62/76 比 50/82，p=0.004）。
结论
FETPI 技术具有较小的术后并发症和更好的美容效果。
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