【摘要】 目的 比较不同手术入路治疗多发性乳腺纤维腺瘤的疗效和安全性展开分析。方法 选择2020年1月至2024年12月郑州市第二人民医院收治的60例多发性乳腺纤维腺瘤行手术治疗的患者作为研究对象，并采用随机数字表法分为A组与B组，每组30例。其中A组为传统放射状切口入路；B组采用乳腺环乳晕入路术式。比较两组患者术中时间、手术切口长度、术后住院时间、手术出血情况、手术后的瘢痕情况及3个月后温哥华瘢痕量表(VSS)评分，采用简明健康测量量表(SF-12)分析两组患者生活质量，对比两组患者的术后满意程度，比较两组术后发生并发症情况。结果 两组患者手术时间、术后住院时间、手术出血量、手术切口长度比较，差异无统计学意义(P > 0.05)。B组患者手术后3个月的VSS评分低于A组，差异有统计学意义(P<0.05)。B组患者术后3个月SF-12各项评分均高于A组患者，差异有统计学意义(P<0.05)。B组患者的术后并发症发生率低于A组患者，差异有统计学意义(P<0.05)。B组患者术后满意程度评分高于A组患者，差异有统计学意义(P<0.05)。结论 利用环乳晕切口入路的手术方式治疗多发性乳腺纤维腺瘤与传统放射状切口入路方式比较，均能获得理想疗效，其中环乳晕切口入路能够提升患者术后满意度及生活质量，且相较于传统放射状切口入路，可降低并发症发生率。更多还原

【Abstract】 Objective To compare the efficacy and safety of different surgical approaches for the treatment of multiple fibroadenomas. Methods Sixty patients with multiple fibroadenomas of the breast who underwent surgical treatment at Zhengzhou Second People’s Hospital from January 2020 to December 2024 were selected as the study subjects. They were randomly divided into Group A and Group B using a random number table, with 30 patients in each group. Group A is a traditional radial incision approach; Group B underwent a breast ring areola approach surgery. Compare the intraoperative time, surgical incision length, postoperative hospital stay, surgical bleeding, postoperative scar condition, and 3-month Vancouver Scar Scale(VSS) score between two groups of patients. Use the Short Form Health Measure(SF-12) to analyze the quality of life of the two groups of patients, compare their postoperative satisfaction, and compare the incidence of postoperative complications. Results There was no statistically significant difference(P > 0.05) in the surgical time, postoperative hospitalization time, surgical bleeding volume, and surgical incision length between the two groups of patients. The VSS score of patients in group B was lower than that of group A at 3 months after surgery, and the difference was statistically significant(P < 0.05). Three months after surgery, the SF-12 scores of patients in group B were higher than those of patients in group A, and the differences were statistically significant(P < 0.05). The incidence of postoperative complications in Group B patients was lower than that in Group A patients, and the difference was statistically significant(P < 0.05). The postoperative satisfaction score of group B patients was higher than that of group A patients, and the difference was statistically significant(P < 0.05). Conclusion The surgical treatment of multiple breast fibroadenomas using the areola incision approach can achieve ideal therapeutic effects compared to the traditional radial incision approach. Among them, the areola incision approach can improve patient satisfaction and quality of life after surgery, and compared to the traditional radial incision approach, it can reduce the incidence of complications.更多还原