扩大乳晕缘合并微整形在巨大乳腺纤维腺瘤手术中的应用

摘要

Objective: To investigate clinical effect of enlarged areola margin combined with micro plastic in the treatment of giant breast ifbroadenoma. Methods:Twenty-two patients with giant breast ifbroadenoma were underwent tumor resection with areola margin incision(n=9)or enlarged areola margin incision(n=13)between 2012 and 2014. Areola plastic and micro plastic of gland lfaps transfer were used to repair the residual cavity after tumor resection. Results:Satisfactory shape of breast in 22 patients was maintained after surgery with no necrosis and sensory obstacle during follow-up period. Conclusion:The combination of enlarged areola margin incision and micro plastic of gland lfaps transfer can be used in completely tumor resection and may avoid deformity of local glands and areola area. It is suitable for patients with smaller areola and larger tumor.%目的：探讨扩大乳晕缘合并微整形技术在巨大乳腺纤维腺瘤手术中的临床效果。方法：收集2012至2014年巨大乳腺纤维腺瘤患者22例，采用沿乳晕（9例）或扩大乳晕（13例）的手术路径切除肿瘤，并通过乳晕成形术和腺体瓣转移微整形技术恢复局部腺体凹陷和避免乳头凹陷。结果：22例患者术后乳房成形满意，随访3～16个月未发现乳头坏死和感觉障碍。结论：应用扩大乳晕缘合并腺体瓣转移微整形技术可以完整切除肿瘤，并避免腺体的局部和乳晕区的凹陷畸形，尤其适合乳晕较小、肿瘤较大患者。