收稿日期: 2024-07-29
网络出版日期: 2024-11-25
基金资助
国家自然科学基金面上项目(82172235)
Comparison on the curative effect of areola single⁃flap method, silk traction method,areola double⁃flap method in type Ⅲ nipple retraction
Received date: 2024-07-29
Online published: 2024-11-25
目的 对比分析乳晕单瓣法、丝线牵引法和乳晕双瓣法矫正Ⅲ型乳头内陷方法的临床影响。 方法 回顾性选取2018年5月至2023年12月于祈福医院收治的93例Ⅲ型乳头内陷患者,根据手术方法的不同分为A组(丝线牵引法,n = 30)、B组(乳晕双瓣法,n = 31)、C组(乳晕单瓣法,n = 32),对比3组患者手术时间、疗效、血运障碍、乳头外观及功能改善程度、并发症、满意度及复发情况。 结果 3组手术时间比较,B组 > A组 > C组,差异有统计学意义(P < 0.05)。C组总有效率高于A组和B组,差异有统计学意义(P < 0.05),但A组与B组比较差异无统计学意义(P > 0.05)。3组血运障碍发生率比较差异无统计学意义(P > 0.05)。C组乳头外观及功能改善程度评分均高于A组、B组,差异有统计学意义(P < 0.05),但A组与B组比较差异无统计学意义(P > 0.05)。C组并发症发生率低于A组和B组,满意度高于A组和B组,差异均有统计学意义(P < 0.05),但A组与B组并发症和满意度比较差异无统计学意义(P > 0.05)。B组、C组复发率均低于A组,差异有统计学意义(P < 0.05)。 结论 与丝线牵引法和乳晕双瓣法比较,采用乳晕单瓣法矫正Ⅲ型乳头内陷的效果更优,更利于提高临床疗效和满意度,改善乳头外观及功能,减少并发症发生率和复发率。
陶国贵 , 刘小敏 , 孙小青 , 左田田 , 吴婉虹 , 胡志奇 . 乳晕单瓣法、丝线牵引法和乳晕双瓣法矫正Ⅲ型乳头内陷的疗效比较[J]. 实用医学杂志, 2024 , 40(22) : 3160 -3164 . DOI: 10.3969/j.issn.1006-5725.2024.22.007
Objective To compare and analyze clinical effects of three correction methods in type Ⅲnipple retraction. Methods A total of 93 patients with type Ⅲ nipple retraction were retrospectively enrolled at Clifford Hospital between May 2018 and December 2023. Based on the different surgical methods employed, they were categorized into three groups: group A (silk traction method, n = 30), group B (areola double-flap method, n = 31), and group C (areola single-flap method, n = 32). The study compared the operation time, therapeutic efficacy, hemodynamic disorders, improvement in nipple appearance and function, complications, patient satisfaction, and recurrence rates among these three groups. Results The operation duration was significantly longer in group B compared to groups A and C (P < 0.05). Group C exhibited a significantly higher total response rate than groups A and B (P < 0.05), while no significant difference was observed between groups A and B (P > 0.05). There were no significant differences in the incidence of hemodynamic disorders among the three groups (P > 0.05). The improvement scores for nipple appearance and function were significantly higher in group C compared to groups A and B (P < 0.05), with no significant difference between groups A and B (P > 0.05). The incidence of complications was lower, satisfaction was higher, both being statistically significant, in group C compared to groups A and B (P < 0.05), but there were no significant differences in the incidence of complications or satisfaction between groups A and B (P > 0.05). The recurrence rate was significantly lower in group B and group C than in group A (P < 0.05). Conclusion The correction effect of the areola single-flap method is superior to that of the silk traction method and areola double-flap method in patients with type Ⅲ nipple retraction, thereby enhancing clinical efficacy, patient satisfaction, nipple aesthetics, and functionality while reducing complications and recurrence rates.
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