乳房下垂矫正的手术方法探讨  

Analysis of Operation Techniques in Mammoplasty for Mastoptosis

作　　者：邹佳 王晶晶 唐枭伟 宋辉[1] 蔡薇[1] 李磊[1] 戈成旺 沈干[1] ZOU Jia;WANG Jingjing;TANG Xiaowei;SONG Hui;CAI Wei;LI Lei;GE Chengwang;SHEN Gan(The Second Affiliated Hospital of Nanjing Medical University,Nanjing 210009,China)

机构地区：[1]南京医科大学第二附属医院美容整形外科,江苏省南京市210000

出　　处：《组织工程与重建外科杂志》2020年第2期134-137,共4页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：目的探讨乳房下垂矫正的手术方法。方法回顾分析2005年至2019年进行乳房下垂手术矫正的46例患者(共92侧乳房),采用改良双环法20例(A组)、Lejour法26例(B组)。术后随访3~12个月,测量各组患者术后乳晕直径,对瘢痕和乳房形态进行评分,并记录各组并发症发生情况。结果B组术后乳晕直径、温哥华瘢痕评分以及乳房形态评分均优于A组(P<0.01),并发症发生率两组无明显差异(P>0.05)。结论中、重度乳房下垂患者采用Lejour法效果优于改良双环法;对于部分无法接受纵向疤痕的病例,可考虑选用双环法。Objective To explore the surgical method for correcting mastoptosis.Methods A retrospective analysis was performed on 46 patients(92 breasts)undergoing breast ptosis correction from 2005 to 2019,among which 20 were operated with double-loop method(group A)and 26 with Lejour method(group B).Postoperative follow-up was conducted for 3 to 12 months.Postoperative areola diameter was measured,and breast morphology were scored,together with vancouver scar scale(VSS)score,and the complications were observed.Results The postoperative areola diameter,VSS score and breast morphology score of group B were all better than that of group A(P<0.01),and there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion The effect of Lejour method in treating moderate and severe breast ptosis is better than that of the modified double-loop method.

关 键 词：乳房下垂 改良双环法 Lejour法 

分 类 号：R622[医药卫生—整形外科]