目的:探讨经乳晕切口切除乳腺纤维腺瘤的可行性和手术技巧。方法:回顾性分析2008年1月~2009年12月收治的173例乳腺纤维腺瘤患者的临床资料。结果:所有患者肿块均完全切除;单侧乳房最多2个切口,手术切口一期愈合,疤痕不明显;术后除偶有出现皮瓣下积血,不增加其他手术并发症;术后最长随访2年,乳房外形无改变,无乳头、乳晕区皮肤感觉异常。结论:乳晕切口隐蔽,美容效果好,方法简单可行;掌握相关的麻醉和手术技巧可达到与传统手术同样的治疗效果。 Objective: To investigate the feasibility and surgical technique of excision of breast fibroadenoma by areola incision. Methods: The clinical data of 173 patients with breast fibroadenoma admitted from January 2008 to December 2009 were analyzed retrospectively. Results: All patients had complete excision of the tumor. Up to 2 incisions were made in one breast. The incisions healed in one time and the scars were not obvious. In addition to occasional subcutaneous flap hemorrhage, no additional complications were found after operation. The longest Follow-up 2 years, no change in breast shape, no nipple, areola area skin feeling abnormal. Conclusion: The areola incision hidden, cosmetic effect is good, the method is simple and feasible; related anesthesia and surgical techniques to achieve the same treatment with traditional surgery.