ABSTRACT
Objective To investigate the effect of para areola incision on the appearance of breast after excision of multiple benign breast lumps.Methods From February 2010 to November 2017,60 females of multiple benign breast tumor underwent surgical resection in the Fifth Peoples Hospital of Datong were selected and randomly divided into study group (n =30) and control group (n =30),respectively received periareolar incision and traditional incision surgery.The operation time and operation effect were compared between the two groups.VSS was used to compare the postoperative scar score between the two groups.The satisfaction for breast shape was also compared between the two groups.Results The operation time of the study group [(25.36 ± 7.69) min] had no statistically significant difference compared with that of the control group (t =0.264,P ＞ 0.05).The incision length and the amount of bleeding in the study group were (5.86 ± 2.49) mm,(9.69 ±e 5.68) mL,respectively,which were significantly lower than those of the control group (t =8.621,P ＜ 0.05;t =2.549,P ＜ 0.05).The obvious effective rate (53.33％ vs.43.33％),effective rate (40.00％ vs.33.33％) and total effective rate (93.33％ vs.76.67％) between the study group and control group had statistically significant differences (x2 =5.264,7.127,13.267,all P ＜ 0.05).The scar and breast shape scores of the study group were better than those of the control group[VSS:(4.35 ± 1.67)points vs.(7.92 ± 2.51) points,breast appearance:(1.38 ± 0.61) points vs.(4.92 ± 1.67) points,t =7.264,6.621,all P ＜ 0.05].Conclusion The resection of breast muhiple benign masses by parareone incision has less trauma,high resection rate,concealed incision and good cosmetic effect after operation,which meets the needs of the patients.
ABSTRACT
OBJECTIVE: Ventricular reconstruction after myocardial infarction is one of the important dangerous factors to the remote occurrence of cardiac functional disturbance. Chinese medicine is of unique advantages in the main therapeutic principles and methods for the post-infarct ventricular reconstruction.DATA SOURCES: To search for and proofread the relevant literatures on the researches on post-infarct ventricular reconstruction in Nuclear Journals of Chinese Medicine from January 1987 to December 2003 by www. google. com,Medline. Referring word: ventricular reconstruction,myocardial infarction,removing blood stasis and resolving phlegm,clearing heat and nourishing yin.STUDY SELECTION: Fifty-six papers on post-infarct ventricular reconstruction were selected, excluded the original literatures on non-random researches and included the original literatures on non-blind researches.DATA EXTRACTION: Of 56 papers,14 papers were deleted for they were repeated in the contents in different degrees. The rest 42 papers were classified and 12 papers of which were selected as the references.DATA SYNTHESIS: Myocardial infarction is the syndrome in which the root cause is deficiency and the symptoms are excess. The main therapeutic principles are to benefit qi,eliminate stasis,resolve phlegm,activate blood circulation,regulate qi,strengthen spleen,clear away heat and nourish yin. Of which, benefiting qi is the primary of the treatment for the root cause and nourishing yin is the secondary of the treatment for the root cause. Eliminating stasis and resolving phlegm is the primary of the treatment for symptoms,regulating qi and clearing away heat is the secondary of the treatment for symptoms. To benefit qi and activate blood circulation can improve blood dynamics to probably benefit the protection of ventricular reconstruction by reducing ventricular pressure and vascular resistauce of systematic circulation.CONCLUSION: After myocardial infarction, it happens inadaptable myocardial hypertrophy and external stromal accumulation and fibrosis of cardiac muscles. Long-term application of the principles for eliminating stasis,resolving phlegm,clearing away heat and nourishing yin can resist ventricular reconstruction and improve post-infarct cardiac function.