【摘要】 目的 探討垂直上蒂法乳房縮小整形術(shù)在治療巨乳癥中的改良應(yīng)用。 方法 2007年1月-2009年10月對(duì)18例乳房肥大患者行垂直上蒂法乳房縮小整形術(shù)，設(shè)計(jì)乳暈下做垂直切口，乳房下皺襞上1～2 cm做弧形切口;乳暈上新乳頭區(qū)域去皮制皮下蒂，切開形成左右兩側(cè)皮瓣，乳頭乳暈垂直向上折疊縫合于新乳頭位置，逐步分次去除多余皮膚及乳腺組織，不懸吊固定切除后的乳腺組織，向中央收緊乳房，獲得輪廓飽滿、曲線圓滑的新乳房。 結(jié)果 手術(shù)效果良好，乳房外形飽滿，輪廓曲線圓滑，隨訪半年后乳頭乳暈感覺恢復(fù)良好，切口瘢痕小，患者滿意。 結(jié)論 此改良法治療中重度巨乳癥術(shù)后乳房形態(tài)效果滿意，設(shè)計(jì)與手術(shù)操作簡便，值得推廣。
【Abstract】 Objective To explore the improved application of vertical superior pedicle breast reduction mammaplasty in macromastia treatment. Methods Between January 2007 to October 2009, arc incision above submammary fold 1 - 2 centimeters and vertical incision through inferior mammary areola were designed.New mamillary region skin superior mammary areola was deepithelialized and formed subcutaneously pedicle.Mammary areola and nipple subcutaneously pedicle were vertically upward plicating sutured to form new nipple area, the redundant skin and mammary gland were gradually excised, and obtained a new saponaceous curved mammary. Results Totally 18 cases (36 mammaries) were performed by this method.After 6 months’ follow-up, the results showed that new mammaries had good shape, saponaceous outline and little scar in incision, sensation on mammary nipple and areola recovered.All patients were satisfied with the postoperative results. Conclusion Improved vertical superior pedicle breast reduction is an ideal breast reduction method for moderate and severe macromastia, and the technique is convenient in design and operation.
引用本文： 蔡震,張家建,游曉波,傅榮. 垂直上蒂法乳房縮小整形術(shù)的改良應(yīng)用. 華西醫(yī)學(xué), 2010, 25(7): 1220-1222. doi: 復(fù)制
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| 2. | Atterhem H, Holmner S, Janson PE. Reduction mammaplasty: symptoms, complications, and late results. A retrospective study on 242 patients[J]. Scand J Plast Reconstr Surg Hand Surg, 1998, 32(3): 281-286. |
| 3. | Saariniemi KM, Joukamaa M, Raitasalo R, et al. Breast reduction alleviates depression and anxiety and restores self-esteem: a prospective randomised clinical trial[J]. Scand J Plast Reconstr Surg Hand Surg, 2009, 43(6): 320-324. |
| 4. | Eggert E, Schuss R, Edsander-Nord A. Clinical outcome, quality of life, patients’ satisfaction, and aesthetic results, after reduction mammaplasty[J]. Scand J Plast Reconstr Surg Hand Surg, 2009, 43(4): 201-206. |
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| 6. | McKissock PK. Reduction mammaplasty with a vertical dermal flap[J]. Plast Reconstr Surg, 1972, 49(3): 245-252. |
| 7. | Strombeck JO. Mammaplasty: report of a new technique based on the two-pedicle procedure[J]. Br J Plast Surg, 1960, 13: 79-90. |
| 8. | Pitanguy I. Surgical treatment of breast hypertrophy[J]. Br J Plast Surg, 1967, 20(1): 78-85. |
| 9. | 王煒. 整形外科學(xué)[M]. 杭州: 浙江科學(xué)技術(shù)出版社, 1999: 1144-1446. |
- 1. Netscher DT, Meade RA, Goodman CM, et al. Physical and psychosocial symptoms among 88 volunteer subjects compared with patients seeking plastic surgery procedures to the breast[J]. Plast Reconstr Surg, 2000, 105(7): 2366-2373.
- 2. Atterhem H, Holmner S, Janson PE. Reduction mammaplasty: symptoms, complications, and late results. A retrospective study on 242 patients[J]. Scand J Plast Reconstr Surg Hand Surg, 1998, 32(3): 281-286.
- 3. Saariniemi KM, Joukamaa M, Raitasalo R, et al. Breast reduction alleviates depression and anxiety and restores self-esteem: a prospective randomised clinical trial[J]. Scand J Plast Reconstr Surg Hand Surg, 2009, 43(6): 320-324.
- 4. Eggert E, Schuss R, Edsander-Nord A. Clinical outcome, quality of life, patients’ satisfaction, and aesthetic results, after reduction mammaplasty[J]. Scand J Plast Reconstr Surg Hand Surg, 2009, 43(4): 201-206.
- 5. Rogliani M, Gentile P, Labardi L, et al. Improvement of physical and psychological symptoms after breast reduction[J]. J Plast Reconstr Aesthet Surg, 2009, 62(12): 1647-1649.
- 6. McKissock PK. Reduction mammaplasty with a vertical dermal flap[J]. Plast Reconstr Surg, 1972, 49(3): 245-252.
- 7. Strombeck JO. Mammaplasty: report of a new technique based on the two-pedicle procedure[J]. Br J Plast Surg, 1960, 13: 79-90.
- 8. Pitanguy I. Surgical treatment of breast hypertrophy[J]. Br J Plast Surg, 1967, 20(1): 78-85.
- 9. 王煒. 整形外科學(xué)[M]. 杭州: 浙江科學(xué)技術(shù)出版社, 1999: 1144-1446.