双环法、Lejour法与垂直双蒂法治疗乳房下垂的疗效比较  

Comparison of round block technique and Lejour technique with vertical bipedicle technique for treatment of breast ptosis

作　　者：魏虹[1] 朱丽芳[1] 汤铭[1] 陈秋霞[2] Hong Wei;Li-fang Zhu;Ming Tang;Qiu-xia Chen(Department of Plastic Surgery,Tianyou Hospital Affiliated to Wuhan University of Science and Technology,Wuhan,Hubei 430064,China;Department of Nursing,Tianyou Hospital Affiliated to Wuhan University of Science and Technology,Wuhan,Hubei 430064,China)

机构地区：[1]武汉科技大学附属天佑医院整形美容科,湖北武汉430064 [2]武汉科技大学附属天佑医院护理部,湖北武汉430064

出　　处：《中国现代医学杂志》2018年第11期88-92,共5页China Journal of Modern Medicine

摘　　要：目的探究双环法、Lejour法与垂直双蒂法在乳房下垂治疗中的效果。方法选取2015年3月-2017年2月在武汉科技大学附属天佑医院诊治的67例乳房下垂患者为研究对象,依据治疗方案不同,将其纳入双环组23例,Lejour组26例,垂直双蒂组18例,比较3组患者手术前后的临床资料。结果 Lejour组温哥华瘢痕评分低于双环组、垂直双蒂组(P<0.05)。Lejour组满意度高于双环组、垂直双蒂组(P<0.05);3组并发症发生率比较,差异无统计学意义(P>0.05)。末次随访时3组乳房形态与术前相比效果明显,且Lejour组与双环组、垂直双蒂组比较,差异有统计学意义(P<0.05)。末次随访时,3组乳头乳晕感觉与术前比较差异无统计学意义(P>0.05),组间比较差异无统计学意义(P>0.05)。结论双环法、Lejour法与垂直双蒂法治疗乳房下垂,均能改善乳房症状,达到乳房塑形效果,且患者较满意,术后并发症发生率低,但Lejour法治疗后乳房形态更好,瘢痕更小,且依旧有泌乳功能。Objective To investigate the clinical effect of round block technique,Lejour technique and vertical bipedicle technique in the treatment of breast ptosis.Methods This research enrolled 67 cases of breast ptosis patients from March 2015 to February 2017 as the research objects.According to the different treatment plans,they were divided into three groups with 23 cases in round block group,26 cases in Lejour group,and 18 cases in vertical bipedicle group.The preoperative and postoperative clinical data of the patients were compared among the three groups.Results The Vancouver scar score in the Lejour group was statistically lower than that in the round block group and the vertical bipedicle group(P<0.05).The degree of satisfaction in the Lejour group was higher than that in the round block group and the vertical bipedicle group(P<0.05);the complication rate in the Lejour group was lower than that in the round block group and the vertical bipedicle group,but there were no statistical differences(P>0.05).The improvement of breast shape during the last follow-up after surgery was obvious in the three groups compared with the preoperative shape,the differences between the Lejour group and other two groups were statistically significant(P<0.05).The nipple areola sensation in the 3 groups at the last follow-up was not statistically different from preoperative one,and there were no significant differences among the 3 groupeither(P>0.05).Conclusions In the treatment of breast ptosis,round block technique,Lejour technique and vertical bipedicle technique could improve breast symptoms and achieve breast shaping effect with low incidence of postoperative complications.The patients are satisfied.However,using Lejour technique,the postoperative breast scar is smaller,breast shape is better,the function of lactation could still be retained.

关 键 词：乳房下垂 双环法 Lejour法 垂直双蒂法 

分 类 号：R655.8[医药卫生—外科学]