本文選題：乳頭內(nèi)陷　切入點(diǎn)：改良持續(xù)外牽引法　出處：《西南醫(yī)科大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:研究一種治療先天性輕中度乳頭內(nèi)陷的持續(xù)外牽引懸吊術(shù)式;探討該法對(duì)先天性輕中度乳頭內(nèi)陷治療的有效性和穩(wěn)固性;探討鞏固期治療是否可以有效的減少乳頭回縮率。方法:選取四川省醫(yī)學(xué)科學(xué)院四川省人民醫(yī)院整形外科2015年1月至2016年8月32例18~30歲先天性輕中度乳頭內(nèi)陷女性未生育患者,隨機(jī)分為甲、乙兩組,甲組16例,乙組16例,甲組輕、中度內(nèi)陷乳頭數(shù)量(個(gè))分別為16、15,乙組輕、中度內(nèi)陷乳頭數(shù)量(個(gè))分別為16、16。甲乙兩組均行改良持續(xù)外牽引懸吊術(shù),其中甲組牽引期末治療結(jié)束,乙組在牽引期末增加鞏固期治療,甲組在術(shù)前(T0)、牽引期末(T1)、牽引期結(jié)束后80天(T2)分別追蹤測(cè)量乳頭高度和體積,乙組在術(shù)前(T0)、牽引期末(T1)、鞏固期末(T2)及治療結(jié)束后半年(T3)分別追蹤測(cè)量乳頭高度和體積。從所有病例高度和體積在T1和T0的變化論證改良持續(xù)外牽引懸吊術(shù)對(duì)乳頭內(nèi)陷治療的有效性及對(duì)輕、中度乳頭內(nèi)陷治療的差異性;從甲、乙兩組病例高度和體積在T2和T1的變化論證鞏固期治療是否可以有效的防止乳頭回縮;從乙組病例高度和體積在T3和T2的變化論證改良持續(xù)外牽引懸吊術(shù)聯(lián)合鞏固期治療對(duì)對(duì)乳頭內(nèi)陷治療的穩(wěn)固性和持久性。測(cè)量結(jié)果使用SPSS22.0進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果:1、該研究中兩組乳頭內(nèi)陷患者乳頭高度和乳頭體積在T1和T0的變化F值分別為1243.030、681.005,對(duì)應(yīng)的p值為0.001、0.001,差異有統(tǒng)計(jì)學(xué)意義,說明改良持續(xù)外牽引懸吊術(shù)可以有效治療輕、中度乳頭內(nèi)陷;2、輕度、中度乳頭內(nèi)陷患者乳頭高度和體積在T1和T0的變化F值分別為0.044、0.005,對(duì)應(yīng)的p值分別為0.835、0.942,p值0.05,差異無統(tǒng)計(jì)學(xué)意義,不認(rèn)為改良持續(xù)外牽引法對(duì)先天性輕中度的治療效果存在統(tǒng)計(jì)學(xué)差異,也說明改良持續(xù)外牽引懸吊術(shù)對(duì)輕度乳頭內(nèi)陷的效果不一定優(yōu)于中度乳頭內(nèi)陷;3、甲、乙兩組在牽引期末(T1)與牽引期結(jié)束后80天(T2)的乳頭高度和體積變化F值分別為208.870、75.442,對(duì)應(yīng)的p值分別為0.001、0.001,說明增加鞏固期治療可以有效減少先天性輕中度乳頭內(nèi)陷患者牽引懸吊后乳頭回縮率;4、該研究乙組患者在治療T3和T2的高度和體積變化F值分別為0.001、0.384,對(duì)應(yīng)的p值分別為0.975、0.537,p值均0.05,差異無統(tǒng)計(jì)學(xué)意義,不能認(rèn)為改良持續(xù)外牽引懸吊術(shù)術(shù)后T3和T2患者乳頭的高度和體積存在差異,也說明該法對(duì)乳頭內(nèi)陷治療的穩(wěn)固性。結(jié)論:1、改良持續(xù)外牽引懸吊術(shù)對(duì)輕度、中度乳頭內(nèi)陷均有效;2、改良持續(xù)外牽引懸吊術(shù)對(duì)輕度乳頭內(nèi)陷及中度乳頭內(nèi)陷的治療有效性差異不明顯;3、鞏固期的維持治療可有效減輕先天性輕中度乳頭內(nèi)陷患者牽引懸吊術(shù)后乳頭回縮程度,降低乳頭回縮率,保證懸吊牽引手術(shù)效果;4、改良持續(xù)外牽引懸吊術(shù)用于對(duì)輕、中度乳頭內(nèi)陷的治療,可有效的防止術(shù)后乳頭回縮,保持乳頭牽出穩(wěn)固性。
[Abstract]:Objective: to study a method of continuous external traction suspension for congenital mild and moderate nipple invagination, and to explore the effectiveness and stability of this method in the treatment of congenital mild and moderate nipple invagination. To explore whether consolidation treatment can effectively reduce the rate of nipple retraction. Methods: from January 2015 to August 2016, 32 women (1830 years old) with congenital mild to moderate nipple collapse were selected from plastic surgery department of Sichuan Provincial people's Hospital, Sichuan Academy of Medical Sciences. They were randomly divided into two groups: group A (n = 16), group B (n = 16), group B (n = 16), group A (n = 16), group B (n = 16). In group A, the end of traction treatment was completed, and in group B, the consolidation phase was increased at the end of traction. In group A, the height and volume of nipples were measured before and 80 days after the end of traction. In group B, the height and volume of nipple were measured with T0, T1, T2) and T3 after treatment. The changes of the height and volume of all cases in T1 and T0 were used to demonstrate the effect of modified external traction suspension on the breast. The effectiveness of cephalic invagination treatment and its effect on mild, According to the changes of the height and volume of patients in T 2 and T 1 in group A and B, it was proved that consolidation therapy could effectively prevent the retraction of nipple. The stability and persistence of modified continuous external traction suspension combined with consolidation therapy in the treatment of nipple invagination were demonstrated in terms of the changes of height and volume at T3 and T2 in group B. the results were statistically analyzed by SPSS22.0. In this study, the changes of nipple height and nipple volume at T1 and T0 were 1243.030 and 681.005, respectively, and the corresponding p values were 0.001and 0.001, respectively. It shows that the modified continuous external traction suspension can effectively treat mild and moderate nipple invagination. The changes of the height and volume of the nipple at T1 and T0 in the patients with moderate nipple invagination were 0.044 鹵0.005, respectively, and the corresponding p values were 0.835 and 0.942, respectively. There was no significant difference between the two groups. It is not considered that there is statistical difference in the therapeutic effect of modified continuous external traction for congenital mild and moderate congenital nipple cavities. It also shows that the effect of modified continuous external traction suspension on mild nipple invagination is not necessarily better than that of moderate nipple invagination. The change of nipple height and volume in group B were 208.870 nipple height and 75.442 at the end of traction period and 80 days after the end of traction period, and the corresponding p values were 0.001 / 0.001, respectively, indicating that increasing consolidation treatment can effectively reduce congenital mild and moderate nipple invagination. In group B, the height and volume of T _ 3 and T _ 2 were 0.001 and 0.384, respectively, and the corresponding p values were 0.9750.537p and 0.05. there was no significant difference between the two groups. It can not be considered that there are differences in the height and volume of the nipples between T3 and T2 patients after modified continuous external traction suspension, which also indicates the stability of this method in the treatment of nipple invagination. Conclusion: 1, the modified continuous external traction suspension is mild in the treatment of nipple invagination. Moderate nipple invagination was effective in all cases. The effect of modified continuous external traction suspension on mild nipple invagination and moderate nipple invagination was not significantly different. Maintenance therapy during consolidation period could effectively reduce congenital mild and moderate nipple invagination. The degree of nipple retraction after traction and suspension, In order to reduce the rate of nipple retraction and ensure the effect of suspending traction, the modified external traction suspension can be used to treat mild and moderate nipple invagination, which can effectively prevent the postoperative nipple retraction and maintain the stability of the nipple pulling out.
【學(xué)位授予單位】：西南醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R655.8

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