【摘要】 目的 探討隱蔽切口行乳腺腫塊切除的經驗。 方法 將1990年5月-2008年6月收治844例乳腺腫塊患者隨機設為觀察組564例，采用乳暈緣切口，280例同期采用傳統放射狀切口的患者作為對照組，比較二者治療效果。 結果 術后隨訪2～12個月，乳暈緣切口患者效果良好，切口瘢痕不顯且保持了乳房的圓潤外形；采用傳統放射狀切口的患者，乳房瘢痕寬大、明顯。 結論 在熟悉乳房解剖及外科基本操作技術的基礎上，開展乳暈緣切口行乳房腫塊切除術是安全可行的，既達到了治療目的，又符合美學要求，值得臨床推廣應用。【Abstract】Objective To explore the method of breast phymas via periaeoral incisions. Methods From May 1990 to June 2008, 844 patients with breast phyma were divided into the investigation group (564 patients) and the control group (280 cases). Incision around areola mammae was performed on the former group, the traditional radial incision was performed on the latter group，and then the results of the treatment were compared between the two groups. Results Follow-up visit ranged from two months to 1 year, all patients resulted in good effects, concealed scars, and remaining smooth shapes in the investigation group, and periareolar incisions was simpler and with less complication. Conclusion It is both safe and practicable to perform breast phyma excision via periareolar incision, on the basis of good understanding to breast anatomy and skillful operation.It can achieve the goal of treatment and meet the requirements of aesthetics as well, and hence is worthy of being recommended in clinical practice.
