目的 探究乳腺下缘切口经乳腺后间隙入路术治疗乳腺多发性纤维腺瘤的临床效果观察。 方法 选取2015年12月—2017年12月普外科收治的82例乳腺多发性纤维腺瘤作为研究对象,根据患者手术方法分为下缘组和常规组,每组41例。下缘组给予乳腺下缘切口经乳腺后间隙入路行肿瘤切除术,常规组给予放射状手术切除乳腺多发性纤维腺瘤,观察两组患者临床各项指标、总满意程度以及术后并发症。 结果 下缘组手术时间和瘢痕VSS评分均优于常规组,组间对比差异存在统计学意义(P＜0.05),但两组患者术中出血量和住院时间对比差异均无统计学意义(P＞0.05);下缘组总并发症率为(21.95%)与常规组总并发症率(19.51%)比较,差异无统计学意义(P＞0.05);下缘组总满意程度(90.24%)优于常规组(68.29%),组间比较,差异有统计学意义(P＜0.05)。结论 乳腺多发性纤维瘤行乳腺下缘切口经乳腺后间隙入路治疗显著,且患者对术后瘢痕以及乳房美观程度满意度高。

Objective To analyze the clinical effect of low-margin incision with trans-retromammary space approach on multiple fibroadenoma of breast.Methods A total of 82 patients with multiple fibroadenoma of breast treated from December 2015 to December 2017 in the General Surgery Department of Yangdong District People’s Hospital were selected.The subjects were assigned to two groups, with 41 cases in each group.The low-margin group adopted low-margin incision with trans-retromammary space approach; while the conventional group adopted radical resection.The clinical indicators, overall satisfaction, and postoperative complications were compared.Results The operation time and Vancouver Scar Scale (VSS) scores of the low-margin group were shorter and lower than those of the conventional group (P＜0.05); however, the intraoperative bleeding volume and hospitalization time were not significantly different between the two groups (P＞0.05).The incidence rates of complications of the low-margin group (21.95%) and the conventional group (19.51%) were not different (P＞0.05).The satisfaction rate of the low-margin group (90.24%) was significantly higher than that of the conventional group (68.29%) (P＜0.05).Conclusion Low-margin incision with trans-retromammary space approach has a remarkable effect on multiple fibroadenoma of breast, and improves the aesthetic measures of postoperative scar and breast.