乳腺良性肿物切除术手术方法的改进
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杨波 E-mail:yb0769@163.com

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R 737.9

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Improvement of surgical procedure for benign breast tumor
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    摘要:

    目的:探讨使瘢痕减小和乳房外形不受影响的乳腺良性肿物手术方法。 方法:采用肿物表面的弧行切口, 肿物距乳晕较近的采用乳晕旁弧行切口, 不缝合乳腺残腔, 4-0可吸收线间断内翻缝合皮下, 皮肤用4-0可吸收线连续皮内缝合,然后行加压包扎。所有患者不放置引流, 不需拆线。 结果:全组共行乳腺良性肿物切除术542例, 613个病灶, 术后切口瘢痕呈线状, 无切口感染、切口裂开等并发症发生。术后发生血肿26例(4.24%), 经保守治疗治愈, 3例(0.49%)因切除范围较大, 出现皮肤与胸肌粘连后皮肤有凹陷, 其余患者均无乳房变形或乳头移位发生。 结论:该术式简化了手术步骤, 缩短了手术时间, 保证了乳房外形的美观。

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    Objective:To investigate the surgical technique of reducing scar and maintaining the mammary shape in resection of benign breast tumor. Methods:In these patients, a curved incision was made over the tumor or around the mammary areola if the tumor was close to the mammary areola; the residual breast cavities preserved without suturing; 4-0 absorbable sutures were used for subdermal continuous suturing, then a pressue package was made; and no drains were used. Results:A total of 542 patients with 613 benign breast tumors were resected. No incision infection and dehiscence occured after operation and only linear scars were left at the surgical sites. Hematoma occrred in 26 patients (4.24%) and it resolved after conservative treatment. Skin depression due to relatively larger resection area developed in 3 patients (0.49%). Conclusions:This operative procedure not only simplifies the process and reduces the operating time, but also ensures a natural outline of the breast.

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杨波.乳腺良性肿物切除术手术方法的改进[J].中国普通外科杂志,2011,20(5):516-518.

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  • 收稿日期:2010-06-03
  • 最后修改日期:2011-03-29
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  • 在线发布日期: 2011-05-15
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