Study on surgical treatment and the way of incision of breast fiber tumor / 中国基层医药

ABSTRACT

Objective To study the surgical treatment and the way of incision of breast fibroma.Methods 106 patients with breast tumor were selected as the research subjects,and they were randomly divided into two groups.53 cases in the conventional incision group used the traditional radial incision surgery.53 cases in the ring areola incision group received the areola incision surgery.The resection time,intraoperative bleeding,postoperative hospital stay and wound healing rate,bilateral symmetry rate,patient satisfaction and postoperative complications were compared between the two groups.Results The incision healing rate,bilateral breast symmetry and the patients' satisfaction rate of the areola incision group were 100.00％,94.34％,94.34％,respectively,which were significantly higher than those of the traditional incision group (81.13 ％,66.04％,81.13 ％),the differences were statistically significant (x2 =5.341,10.541,4.296,all P ＜ 0.05).The incidence rate of postoperative complication of the areola incision group was 1.89％,which was significantly lower than 15.09％ of the conventional incision group (x2 =5.949,P ＜ 0.05).The breast fibroma resection time,intraoperative bleeding volume,postoperative hospitalization time of the areola incision group were (15.14 ± 0.15) min,(20.02 ± 1.53) mL,(5.52 ± 1.12) d,which were significantly better than those of the conventional incision group [(27.24 ± 1.91) min,(29.98 ± 2.72) mL,(7.26 ± 2.57) d],the differences were statistically significant (t =11.113,8.924,8.255,all P ＜ 0.05).Conclusion The surgical treatment of breast fibroma and incision can affect the treatment effect,the areola incision surgery is better than the traditional radial incision,it can shorten operation time,reduce bleeding,reduce the incidence of complications,improve the healing rate,double side breast symmetry rate,the degree of satisfaction of patients,shorten the hospitalization time,which is worthy of promotion.