摘要目的 探讨切除多发性乳腺纤维腺瘤的理想术式及美学价值.方法 对21例多发乳腺纤维腺瘤患者,术前行体检及乳腺超声和(或)乳房X线钼靶检查.手术经乳头基底乳晕内切口,将所有可触及肿块均以一个实体完整切除,彻底止血后以5-0可吸收线缝合、消除死腔及关闭皮肤切口.结果 21例共95个肿块(0.5 cm×0.5 cm至6.0 cm×5.0 cm)完整取出.切除之标本均经病理检查证实为乳腺纤维腺瘤,未发生明显并发症,切口被乳头基底和乳晕色素性皮肤起伏所隐蔽,留下的瘢痕几乎看不见,术后美学效果理想,医患双方均感满意.结论 经乳头基底的乳晕内切口行乳腺纤维腺瘤的切除与传统术式相比,具有一定的美学优势.

abstractsObjective To explore the methods and significance of section of multiple fibroadeno mas of breast with better incision.Methods From may 2005 to December 2014,21 cases were per formed by removing multiple fibroadenomas of breast with a new incision.Preoperatively,the diag nostic work-up included clinical examination,breast ultrasonography and/or mammography.A new approach,for removing of multiple fibroadenomas of the breast with the incision in periareolar site,was used in our hospital.All palpable breast lumps were excised with this approach through which the fibroadenomas were removed as a whole unit.Then,the breast cavity were irrigated with normal saline solution,and strict haemostasis of the bed was done by electrocautery.If the resulted cavity was larger,interrupted sutures should be performed with the absorbable stitches;otherwise,it was unnecessary.The skin wound was sutured to the deepithelialized area with Vicryl 5-0 (Ethicon).Results There were 21 cases,who underwent surgery using the described technique through which 95 lumps (0.5 cm× 0.5 cm-6.0 cm× 5.0 cm) were removed and included in the study.All patients' resected tumor specimens were pathologically confirmed as fibroadenoma.No major complications were encountered in any of the patients.The incision was well concealed by the dome of the nipple and the areolar pigmented and corrugated skin.Both doctors and patients were satisfied with postoperative aesthetic effect of the incision scar.Conclusions The incision in periareolar site for excision of multiple fibroadenomatas results in minimal scarring and a better appearance than that can be achieved with traditional methods.This technique,which can improve the aesthetic outcome of breast surgery,should be performed when feasible.