揪提手法与梯级提升牵引器矫治乳头内陷患者的效果对比分析

目的:分析和比较揪提手法与梯级提升牵引器矫治乳头内陷的临床效果。方法:选择2013年1月-2018年1月于我院进行治疗的44例乳头内陷患者为研究对象,按照随机数字表法将其均分为实验组与对照组,每组各22例患者。对照组患者实施揪提手法治疗,实验组患者使用梯级提升牵引器进行治疗,两组干预时间均为2个月。治疗结束后,对比两组患者治疗有效率,治疗开始时、治疗1个月时及治疗2个月时视觉模拟量表评分(VAS),术后3个月时复发率及治疗期间并发症发生率。结果:(1)对照组治疗有效率为59.09%(26/44),实验组治疗有效率为86.36%(38/44),较对照组显著升高(P0.05);(2)治疗第一天,实验组患者VAS评分明显高于对照组(P0.05),但两组患者治疗1个月及2个月时VAS评分对比差异不具有统计学意义(P0.05);(3)术后6个月随访示实验组复发率显著低于对照组(P0.05);(4)实验组患者治疗期间不良反应发生率明显低于对照组(P0.05)。结论:阶梯提升牵引器矫治乳头内陷的效果明显常规优于揪提手法,虽然治疗之初患者较为疼痛,但患者远期预后显著好于常规揪提手法。

Comparative Analysis of Pulling Manipulation and Step Lifting of Tractor for the Correction of Nipple Inversion

ABSTRACT Objective: To analyze and compare the clinical effects of pulling manipulation and step lifting of tractor for the correction of nipple inversion. Methods: 44 patients with inverted nipples who were treated in our hospital from January 2013 to January 2018 were divided into the experimental group and the control group according to random number table method. Each group had 22 patients. The control group was treated with pulling manipulation, while the experimental group was treated with stepped lifting tractor. The intervention time in the two groups was 2 months. After treatment, the effective rate, visual analogue scale(VAS) score at the beginning of treatment, at 1 month and 2 months after treatment, the recurrence rate at 3 months after operation and the complication rate during treatment were compared between the two groups. Results: (1) The effective rate was 59.09%(26/44) in the control group and 86.36% (38/44) in the experimental group, which was significantly higher in the experimental group than that in the control group(P<0.05); (2) On the first day of treatment, the VAS score of experimental group was significantly higher than that of the control group(P<0.05), but there was no significant difference between the two groups at 1 month and 2 months of treatment(P>0.05); (3) After 6 months'' follow-up, the recurrence rate of experimental group was significantly lower than that in the control group(P<0.05); (4) The incidence of adverse reactions in the experimental group was significantly lower than that in the control group(P<0.05). Conclusion: The effect of step lifting tractor for correction of nipple inversion is obviously better than that of pulling manipulation. Although the initial treatment is more painful, the long-term prognosis of patients is significantly better than that of lifting manipulation.