环乳晕切口切除乳腺纤维腺瘤的临床研究

目的：环乳晕切口切除乳腺纤维腺瘤（fibroadenoma ectomy by circum—areola incision，FECAI）因为有突出的美学优势，已经在国内多家医疗单位应用。但是，发表的文献并没有详细阐明FECAI的适应证、禁忌证、注意事项和并发症的预防等问题。因而，本文针对这些问题进行较为详尽的研究和阐述。方法：研究组（35例，40侧乳房）进行了FECAI；同时期同一医疗组所做的肿块表面切口纤维腺瘤切除术设为对照组（28例，32侧乳房）。回顾分析方法比较两组在手术时间、出血量等方面的差别，并且阐述适应证等问题。结果：手术时间：研究组（49±8）min；对照组（38±5）min（P〉0．05）。出血量：研究组（20±5）ml；对照组（31±6）ml（P〈0．05）。适应证：乳晕直径3．5～5．0cm；肿块外缘距离最近乳晕边缘小于5．0cm；肿块直径3．0cm以下；体检、B超、钼靶、细针穿刺或空心针穿刺等所有术前检查均支持纤维腺瘤的诊断。禁忌证：肿块直径大于5．0cm；肿块外缘距离最近乳晕边缘距离≥6．0cm；有恶性可能。结论：此种切口设计的突出优点是瘢痕隐蔽，美容优势明显。为减少并发症的出现，必须掌握好适应证和禁忌证。

A clinical study on the resection of breast fibroadenoma by circum-areola incision

Objective Fibroadenoma ectomy by circum-areola incision(FECAI) have been applied in many domestic clinical centers for its notable advantage with excellent cosmetic results.Unfortunately,indications,contraindications,surgical procedures and cautious notes as well as complications prevention about FECAI have not been described in published literature in details.Therefore,this article gave a discussion in these aspects.Methods The authors present indications,contraindications,surgical procedures and cautious ...