垂直切口乳房成形术的临床应用  

Clinical application of vertical incision pasty of breast

作　　者：杨萍[1] 刘小伟[1] 杨静[1] 

机构地区：[1]湖北医药学院附属人民医院烧伤整形美容外科, 湖北省十堰442000

出　　处：《中国基层医药》2014年第1期47-48,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探讨垂直切口用于乳房成形术的临床效果.方法 按Lejour的方法,先对需要手术的患者进行乳房形状的设计,并在乳房上做出相应的标记线,然后进行多余组织的切除手术；在手术过程中应该注意乳房中的血管和神经等重要部分的防护,防止对乳房的泌乳等功能产生过大的影响.结果 进行手术的48例患者中,乳房切除过多导致乳房过小的患者有2例,乳晕过大患者有1例.术后对患者进行随访调查,所有患者对手术后的乳房外形均满意,1例患者对手术产生的瘢痕不满意,再次进行手术瘢痕的切除治疗后对手术结果也满意,总满意率为98%.结论 乳房成形术过程中采用垂直切口方法,出血量较少,对患者乳房的正常功能几乎没有影响,是进行乳房成形术患者的首选手术方案.Objective To investigate the clinical effect of vertical incision for breast surgery.Methods According to Lejour method,the first breast shape on the patients who needed operation was designed,and make a mark line corresponding to the breast,and then removal of excess tissue during the operation,operation process should pay attention to the protection of important part of breast of vessels and nerves,to prevent the impact of breast lactation function.Results The operation in 48 patients with breast because of too much too small in patients with 2 cases,1 cases of patients areola was too large,the patients were followed up survey,all the patients were satisfied with the operation of the breast shape,1 cases of operation the scar not satisfied,then the operation scar resection of operation after further results were satisfied,the total satisfaction rate was 98%.Conclusion Breast reconstruction process using vertical incision method for patients with relatively small,less bleeding,almost did not affect the normal function of patients with breast,breast shape is preferred for patients with operation scheme.

关 键 词：乳房缩小术 巨乳症 皮肤皱缩缝合 

分 类 号：R655.8[医药卫生—外科学]