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目的探讨乳晕切口治疗乳腺距乳晕远距离的纤维腺瘤手术方法及美容效果。方法观察2009年2月至2012年8月32例乳腺距乳晕远距离纤维腺瘤患者采用乳晕外缘切口的手术方法及美容效果。结果 32例患者术后切口全部I期愈合,无血肿、感染,随访3～6个月外观无明显变化,瘢痕不明显,患者对手术疗效满意。结论采用乳晕外缘切口治疗远距离乳腺纤维腺瘤不仅能够直视下完整切除瘤体,还能保持乳腺的美容效果,瘢痕不明显,是目前基层医院临床上治疗乳腺纤维腺瘤值得推广的手术方法。
Objective To discuss the surgical method and cosmetic effect of areola incision in the treatment of distant fibroadenoma of the breast from the areola. Methods From February 2009 to August 2012, 32 cases of breast distant isofacial fibroadenoma patients were treated by the surgical method of the areola incision and the cosmetic effect. Results All the 32 cases of incision healed after operation, no hematoma and infection. No significant changes of appearance were observed after 3 to 6 months of follow-up. The scar was not obvious and the patient was satisfied with the operation. Conclusion The treatment of long-distance breast fibroadenoma by the rim incision of the areola can not only completely resect the tumor under direct vision, but also maintain the cosmetic effect of the breast with no obvious scar. It is the most recommended surgical treatment of breast fibroadenoma in the primary hospital method.