改良双环法中心蒂乳房缩小成形术  

Modified reduction mammoplasty with central pedicledouble circle technique

作　　者：杨杰[1] 孙家明[1] 郭科[1] 熊凌云[1] 王荣荣[1] 

机构地区：[1]华中科技大学同济医学院附属协和医,武汉430022

出　　处：《中华医学美学美容杂志》2012年第1期12-15,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨双环法中心蒂乳房缩小成形术术亿效果不件的原因，以便改进手术疗法．降低术后并发症的发生率．提高远期美学效果。方法通过对1．999年3月至2009年12月应用双环法中心蒂术式行肥乳房缩小成形术的临床资料进行回顾性分析，总结应用该技术的临床经验，针对各类术后效果不佳的原因采取相应预防措施，并对改良术式术后效果进行评价。结果对采用改良术式的76例随访3个月至3年。结果表明，患者对术后乳房形态满意，乳头-乳晕感觉良好，术后环乳晕瘢痕不明显，远期美学效果稳定，并发症发生率低，小前2次修整。结论改良双环法中心带乳房缩小成形术是适合中国妇女的较优选术式；精细的术前设计和重视手术细节的把握是降低许发痛、提高于术效果的有效措施。Objective To review the clinical data of reduction mammoplasty by cen＇tral pedicle technique, and to surnmarize all kinds of the complications 1o modify the technique for improvement of long term aesthetic effects. Methods The postoperative complications were analyzd and then an ap- proach was used to investigate lhe pattern of the blood supply and the nerve distribution of breast. Based on the anatomical study, a modified double circle reduction mammoplasty technique was de signed to treat patients with hypertroplhical breasts. Results With a follow-up for 3 months to 3 years, the patients who underwent this modified central pedicle technique, had an invisible scar, good projection, the better shape of breast amt preserved their sensation of nipple-areola complex. Conclu- sions Modified central pediele technique is a safe and reliahle technique, especially ideal for Chinese women. The blood supply is rich and the sensation of nipple-areola complex is preserved. The fixation of the gland tissue is more important than the dermal bra.

关 键 词：巨乳 乳房缩小成形术 中心蒂 

分 类 号：R655.8[医药卫生—外科学]