垂直短瘢痕缩乳技术在中重度下垂乳腺良恶性疾病中的应用  

Application of vertical short scar breast reduction technique in moderate and severe of benign and malignant ptosis breast diseases

作　　者：陈莹[1] 谢宛君 谢枫枫 刘丹[1] 钟少文[1] 陈前军[1] CHEN Ying;XIE Wanjun;XIE Fengfeng;LIU Dan;ZHONG Shaowen;CHEN Qianjun(Department of Galaetophore,Guangdong Hospital of Traditional Chinese Medicine,Guangdong Province,Guangzhou 510000,China;the Second School of Clinical Medicine,Traditional Chinese Medicine University of Guangzhou,Guangdong Province,Guangzhou 510000,China)

机构地区：[1]广东省中医院乳腺科,广东广州510000 [2]广州中医药大学第二临床医学院,广东广州510000

出　　处：《中国医药导报》2018年第23期146-149,163,共5页China Medical Herald

基　　金：广东省医学科研基金立项项目(B2017028);广东省教科文卫工会"广东高校女性发展研究专项课题"(2018jkwwgh104)

摘　　要：垂直短瘢痕技术是较常用的乳房肥大缩小技术,而随着乳房整形技术在各领域的广泛运用,该技术也用于治疗中重度下垂型乳腺良恶性疾病的治疗。广东省中医院乳腺科(以下简称"我科")采用Lejour和SPAIR技术进行手术设计,根据疾病需要切除的范围,选择保留合适的腺体蒂,并进行乳房塑性,留下环乳晕及短纵行瘢痕。我科运用该技术治疗乳腺良恶性病变15例,对30只乳房进行该手术,手术效果满意。术后仅2例患者出现"猫耳"畸形。本文重点介绍该方法在乳腺癌保乳、多发纤维腺瘤、乳腺炎3个病例中的运用,结果可见运用垂直短瘢痕技术对中重度下垂患者良恶性肿瘤疾病进行治疗,病灶切除完整,乳房外形满意,值得推广。The vertical intra-areolar incision is a useful procedure for reduction mammaplasty. With the widespread use of breast plastic technique, this method has been used in treating benign and malignant breast disease. The typical Lejour′s design and SPAIR′s design is used in Department of Galactophore of Guangdong Hospital of Traditional Chinese Medicine（ ＂our department＂ for short）, the suitable glandular pedicle is selected according the range which needs to be excised, then elevate the nipple-alveolar complex to a proper position, only surround Areola and vertical scar are left. Fifteen patients（30 breasts） were treated using this method in our department, the results were satisfactory except＂dog′s ear＂ occurred in 2 patients. This paper mainly introduce the technique in treating 3 patients with breast cancer,multiple fibroadenoma, mastitis, separately. It is considered that vertical reduction mammaplasty is very useful in those with moderate and severe of benign and malignant ptosis breast disease, this method can not only resect the lesions completely, but also give the good breast shape, is worthy of promotion.

关 键 词：缩乳术 垂直短瘢痕技术 乳腺良恶性疾病 

分 类 号：R655.8[医药卫生—外科学]