关键词: 乳腺纤维腺瘤, 微创手术, 开放手术, 泌乳功能

Abstract: Objective To investigate the effect of vacuum-assisted excision and open surgery on breastfeeding capability of breast fibroadenoma patients. Methods A total of 264 patients with unilateral single fibroadenoma resection in the Breast Disease Center of Guangdong Women and Children's Hospital from January 2014 to December 2017 were screened. Breastfeeding questionnaire was conducted to the patients, and related factors affecting postoperative breastfeeding were analyzed. Results All patients were successfully breast-fed after operation, but the capability varies among different patients.In the general population, galactostasis was more likely to occur on the operative side than on the healthy side, and in 76.8% （63/82） of the patients with galactostasis on the operative side, the galactostasis quadrant was consistent with the preoperative tumor location. Chi-square analysis showed that preoperative tumor location quadrant, surgical method and time between operation and lactation had no significant effects on the occurrence of galactostasis on the operative side, and the differences were not statistically significant （P>0.05）; However, multivariate Logistic regression showed that preoperative tumor size, distance from the tumor center to the nipple, distance between the incision and the nipple and conditions of the operative side nipple were important factors affecting the occurrence of galactostasis and reduced milk yield, with statistical significance （P<0.05）. Conclusion After the operation of breast fibroadenoma, all patients were successfully breast-fed, but the operative side is more prone to galactostasis than the healthy side. The size of the tumor, the distance from the tumor center to the nipple, the distance between the incision and the nipple, and the conditions of the operative side nipple are important factors affecting the occurrence of galactostasis.

Key words: breast fibroadenoma, vacuum-assisted excision, open surgery, breastfeeding capability