保留乳房间隔内上蒂法巨乳缩小术的临床效果  

Clinical efficacy of superomedial pedicled mammaplasty based on Wiiringer＇s horizontal septum

出　　处：《中华医学美学美容杂志》2016年第1期1-3,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的 探讨保留乳房间隔的内上蒂法治疗巨乳症的临床疗效。方法对25例巨乳症患者，采用垂直切口，保留乳房间隔的内上蒂法行巨乳缩小术，根据术前设计，去除内上蒂表皮，在保留乳房间隔的前提下，切除外下象限多余皮肤及腺体组织，重塑乳房形态。结果术后25例切口均达到I期愈合，无皮肤坏死、无脂肪液化、无血肿、无感染等并发症，乳头、乳晕血运及感觉良好。术后随访6～12个月，患者对术后乳房外形、感觉及切口瘢痕均较满意。结论保留乳房间隔的内上蒂法巨乳缩小术，采用垂直切口，操作安全，术后切口瘢痕较小。特别是对于下垂比较严重的患者，术后和远期疗效均满意。Objective To study the method and effect of superomedial pedicled mammaplasty based on Wuringer＇s horizontal septum. Methods During August 2014 to August 2015, 25 cases of eromastia were treated with septum-based mammaplasties with a superomedial pedieled and vertical incision. Based on the preoperation design, the superomedial pedicle was deepithelialized with preservation of the dermis and the subdermal plexus. The pedicle was dissected as described, the excess tissue was removed with the prepectoral fascia preserved. After remodeling the shape of mammary gland, the incision was sutured. Results There was no hematoma, no fat liquefaction and no partial or corn pIete NAC necrosis. The pre and postoperative NAC sensibilities were comparable in all the patients. The patients were ~ollowed up for 6 to 12 months, and all the patients were satisfied with the therapeutic effect and expressed acceptance to the scar. Conclusions The breast reduction based on wellvaseularized septum and superomedial pedicle is safe with minor scar, even in large breasts. This technique demonstrates ease of pedicle shaping and breast remodeling. The satisfied effect could be obtained for patients with severe ptosis of breasts just after operations and in future.

关 键 词：巨乳房 乳房缩小成形术 

分 类 号：R655.8[医药卫生—外科学]