Clinical Analysis Of "Z" Font Resection Of Giant Fibroadenoma Of The Breast

Age of onset giant fibroadenoma of breast is usually early, often around the age of eighteen year old. The tension of learning and academic, coupled with the insufficiency understanding of physiological development in this stage, many young women often make the disease delayed. The traditional way of resection the giant fibroadenoma of breast is radial incision in the breast surface. Because of the postoperative scar and imperfect appearance, many young women often suffer great psychological pressure. Inspired by the way of minimally invasive surgery, tentative excision breast giant fibroadenoma of the breast with the edge of the areola arc incision type "Z" were used since September2009in our hospital. The scar is not obvious and the treatment effect was satisfactory. In this paper we retrospectively analysis of the treatment, scar left, postoperative complications and so on by the edge of the areola arc incision "Z" shape excision breast giant fibroadenoma, and the reasons of the complications and the measures of postoperative prevention, providing clinical reference value for the operation mode.Objective1Compare with the edge of the areola arc incision resection of giant breast fibroadenoma and traditional operation mode of resection of giant fibroadenoma of the breast, analysis of the clinical effect of two kinds of operation mode, providing some reference value for clinical application of the operation mode.2Discussion on the operation mode of the operation scar,the change of breast appearance, the nipple areola blood supply, the abnormal feeling of breast and the complication after operation.Methods1Retrospective analysis21cases giant fibroadenoma of breast through the edge of the areola arc incision "Z" shape excision, and compared with52cases of non-the edge of the areola arc incision as the traditional way of operation excision fibroadenoma of the breast from2009September to2012August in the Third affiliated hospital of zhengzhou university. The tumor diameter of the two groups≥7cm,and the distribution of giant fibroadenoma and the age composition in two groups were not statistically different.The observation group adopt with the edge of areola arc incision "Z" shape excision breast giant fibroadenoma, and the control group with the traditional radial incision along the surface of the skin or breast line arc incision.2Postoperative from healing of incision, postoperative scar, breast appearance, subcutaneous effusion, nipple-areola sensation and blood supply in areas such as clinical analysis, compare the advantage and disadvantage of the two operation mode.3Statistical analysis adopt SPSS17.0, x2test for the comparison of two groups, Inspection level for a=0.05.Results1Compared with the traditional operation mode, the edge of the areola incision "Z" shape excision breast giant fibroadenoma of the breast can achieve the same therapeutic effect.2The breast scar were unconspicuous, basically no change of breast appearance after surgery, no abnormal feeling of nipple and areola and blood circulation disorder postoperative by the edge of the areola arc incision "Z" shape resection of giant fibroadenoma of the breast.ConclusionThe unification of the therapeutic effect and cosmetic effect are achieved by the edge of the areola arc incision "Z" shape excision breast giant fibroadenoma of the breast, this operation mode can be used as a clinical reference and application in clinical practice.