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目的探讨乳腺良性肿瘤应用乳晕环切口切除术治疗的临床疗效观察。方法随机选择2013年1月—2014年1月鹤壁煤业集团公司总医院诊治的乳腺良性肿瘤患者86例,按完全双盲法随机平均分成两组,对照组43例患者采用乳晕放射切口术治疗,研究组43例患者采用乳晕环切口术治疗,观察比较两组患者围术期疗效指标、术后并发症及复发、匹兹堡睡眠质量指数(PSQI)及抑郁自评量表(SDS)评分情况。结果研究组患者中术中出血量[(112.05±15.20)m L]较对照组[(127.85±20.36)m L]少,且并发症比对照组少,差异有统计学意义(P<0.05);术后研究组患者PSQI及SDS评分情况优于对照组,差异均具有统计学意义(P<0.05)。结论乳腺良性肿瘤应用乳晕环切口切除术治疗的临床疗效显著,无明显术后并发症,利于改善患者生活质量,具有临床实际应用价值。
Objective To investigate the clinical effect of surgical treatment of breast benign tumor by the incision of areola ring incision. Methods Totally 86 patients with benign breast neoplasm diagnosed and treated at Hebi Coal Industry Group General Hospital from January 2013 to January 2014 were randomly selected and divided into two groups according to a completely double-blind method. Forty-three patients in the control group were treated by areolactomy The 43 patients in the study group were treated with areolar ring incision. The perioperative efficacy index, postoperative complications and recurrence, Pittsburgh Sleep Quality Index (PSQI) and Depression Self-rating Scale (SDS) were compared between the two groups. Results The amount of intraoperative blood loss [(112.05 ± 15.20) m L] in study group was less than that in control group [(127.85 ± 20.36) m L], and the complication was less than that in control group (P <0.05) ; PSQI and SDS scores in postoperative study group were better than those in control group, the differences were statistically significant (P <0.05). Conclusions The clinical effect of the treatment of breast benign tumor with the incision of the areola ring incision is significant, no obvious postoperative complications, help to improve the quality of life of patients with clinical practical value.