保留乳腺横隔的垂直瘢痕乳房缩小成形术  

Vertical reduction mammoplasty based on Wiiringer＇s horizontal septum

作　　者：顾建英 张勇 冯自豪 杨燕文 施越冬 亓发芝 

机构地区：[1]复旦大学附属中山医院整形外科,上海200032

出　　处：《中华医学美学美容杂志》2018年第1期24-27,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨保留乳腺横隔的垂直瘢痕乳房缩小成形术的临床效果。方法采用经典垂直瘢痕内上蒂乳房缩小的手术设计，标记保护乳腺横隔的血管组织，切除设计的下穹窿皮肤、腺体，内上蒂的腺体真皮组织蒂向新乳头移位，残留腺体塑形、定位。结果采取保留乳腺横隔的垂直瘢痕乳房缩小成形术共79例患者154侧乳房，其中单侧乳房缩小4例，手术后评估，乳房形态良好。术后4侧乳房切口部分裂开，均经换药后愈合，无乳头、乳晕坏死发生。结论保留乳腺横隔的垂直切口乳房缩小手术，可更好地保护乳头乳晕复合组织的血供及静脉回流，安全可靠，效果良好。Objective The vertical mammoplasty which improves the breast morphology and reduces the operative scar has become the first selection of breast reduction. However, the nipple-and areola complex （NAC） had the risk of necrosis in those severe patients. In this report, we performed the vertical reduction mammoplasty based on Wu＇ringet＇s horizontal septum to reduce the NAC necro sis possibility. Methods Typical Lejourmosque-dome design was performed. The inferior part of glan dular tissue and the skin were excised. The NAC was elevated to normal position based on Wu＇ringefs horizontal septum. The breast morphology was modified with vertical scar left. Results 79 patients were operated. 4 patients had unilateral breast reduction. 4 breasts had partial wound dehiscence. They were treated conservatively with topical dressing. No complete NAC necrosis occurred. Conclusions The vertical reduction mammoplasty based on Wu＇ringer＇s horizontal septum is a safe and effective pro- cedure. The NAC necrosis risk is reduced. This method deserves to be recommended.

关 键 词：乳房缩小成形术 垂直瘢痕 乳腺横隔 

分 类 号：R655.8[医药卫生—外科学]