保留Würinger水平横隔的中心蒂法乳房缩小成形术  

Reduction mammaplasty with central gland pedicle based on Wiiringer＇ s horizontal septum

作　　者：杨艳清[1] 孙家明[1] 熊凌云[1] 郭能强[1] 刘嘉锋[1] 郭科[1] 郭亮[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院整形外科,武汉 430022

出　　处：《中华整形外科杂志》2012年第4期245-247,共3页Chinese Journal of Plastic Surgery

摘　　要：目的探讨应用保留Wtiringer水平横隔的中心蒂法乳房缩小成形术治疗女性乳房肥大的方法及疗效。方法2009年3月至2011年9月，对21例轻、中度女性乳房肥大患者行中心蒂法乳房缩小成形术时，采用去除Wtiringer水平横隔头侧方向、保留横隔尾侧方向乳腺组织的方式。结果21例患者单侧腺体组织切除量为（327．8±148．6）g，锁乳距由术前的24．0-28．0cm（25．5cm）缩小为术后的18．0-22．0cm（20．0cm），胸骨上凹至乳头的距离由术前的23．5-28．5cm（26．0cm）缩小为术后的19．5-22．5cm（21．0cm）。上提乳头4．0-10．0cm，平均6．5cm。术后无一例血肿，无乳头、乳晕坏死的现象发生。1例患者切口小范围裂开，经换药后自愈。17例获术后3个月至2年的随访，乳头、乳晕感觉良好，乳房外形满意。结论保留Wiiringer水平横隔的中心蒂法乳房缩小成形术，具有更好的解剖学基础，可以更加有效地保证乳头、乳晕复合体的血运和感觉，减少血肿或血清肿的发生率，术后远期效果更为稳定，适用于部分轻、中度乳房肥大的患者。Objective To investigate the method and efficacy of reduction mammaplasty with central gland pedicle based on Wliringer＇ s horizontal septum in the treatment of female breast hypertrophy. Methods From Mar. 2009 to Sept. 2011, a series of 21 consecutive patients with mild and moderate hypermastia underwent reduction mammaplasty with central gland pedicle. Only the mammary gland located at cranial portion of septum was resected and the mammary gland located at caudal portion of septum was preserved. Results In our series, the mean resection weight per breast was （327.8± 148.6） g, the mean nipple-to clavicle midpoint was 20. 0 cm （ range, 18.0-22.0 cm） and the mean nipple-to-sternal- notch distance was 21.0 cm （range, 19.5-22.5 cm） postoperatively. Nipple was moved upward 6.5 cm on average （range, 4. 0-10. 0 era）. There was no hematoma and nipple-areolar complex （NAC） necrosis. Minimal wound dehiscence occurred in one case and healed by dressing change. 17 cases were followed up for 3 months to 2 years. Satisfactory breast shape was achieved with good NAC sensibility. Conclusions The reduction mammaplasty with central gland pedicle based on Wtiringer＇ s horizontal septum is a safe and reliable technique for mild and moderate hypermastia. Satisfactory breast contour, as well as NAC viability and sensibility, could be achieved with lower occurrence of hematoma or seroma.

关 键 词：乳房缩小成形术 乳房肥大 Wtiringer水平横隔 

分 类 号：R655.8[医药卫生—外科学]