探讨乳晕边缘切口在青年女性乳腺良性肿物手术中的应用

目的探讨乳晕边缘切口在青年女性乳腺良性肿物手术中的应用。方法分析我院门诊良性肿物患者分别采用肿物表面顺皮纹方向或放射状切口与乳晕边缘切口潜行游离皮瓣手术方式治疗临床资料。结果60例患者通过乳晕边缘切口潜行游离皮瓣方式均顺利完成手术，肿物均完整切除，平均手术时间27min，患者对此种术式术后美容效果满意。另对照组60例采用传统肿物表面放射状切口或顺皮纹方向切口，肿物亦完整切除，平均用时19min，但此种术式术后瘢痕较明显，患者对手术后美容效果满意率较低。结论通过采用乳晕边缘切口潜行切除肿物方式不仅可以完整切除良性肿瘤，且瘢痕隐藏效果好，无明显瘢痕增生，患者心理创伤小，同时满足了美学要求，值得在基层医院广泛应用。

Application of areola edge incision in surgery of young female with mammary gland benign mass

Objective To investigate the application of areola edge incision in the surgery of young female with mammary gland benign mass. Methods Clinical information of the patients with benign mass who received the mass surface striae direction or radial incision and the areola edge incision potential free skin flap surgical methods in the outpatient of our hospital was analyzed. Results Sixty patients went through the surgery successfully using the areola edge incision potential free skin flap method. The mass was removed completely and the average operative time was 27 minutes. The patients were satisfied with the cosmetic results of this surgical method. Sixty patients of the control group received traditional mass surface striae direction or radial incision. The mass was also removed completely and the average operative time was 19 minutes. But the postoperative scar of this surgical method was obvious and the patients had low satisfaction to the postoperative cosmetic results. Conclusion The application of areola edge incision potential mass excision method can remove the benign tumor completely, has good scare concealing effects, causes no obvious scar hyperplasia and small psychic trauma, and meets the aesthetic requirements, thereby worthy of wide application in primary hospitals.