垂直切口内侧蒂法联合脂肪抽吸术在重度乳房肥大缩小术中的应用  

Application of Vertical Incision Medial Pedicle Breast Reduction Combined with Liposuction in Severe Macromastia

作　　者：侯团结 卢孔烨 马乐 陈啸 荣坤杰 李平松 HOU Tuanjie;LU Kongye;MA Le;CHEN Xiao;RONG Kunjie;LI Pingsong(Department of Medical Cosmetology,Northern Jiangsu People’s Hospital,Yangzhou 225001,Jiangsu,China)

机构地区：[1]苏北人民医院医学美容科,江苏扬州225001

出　　处：《中国美容医学》2022年第10期1-4,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨内侧蒂法巨乳缩小术联合脂肪抽吸术在重度乳房肥大缩小术中的应用效果。方法:对32例(64侧)重度乳房肥大患者,采用垂直切口内侧蒂法巨乳缩小术,同时联合脂肪抽吸术解决乳房下皱襞臃肿问题。结果:术中单侧切除乳腺及脂肪组织量500~1900 g,平均切除组织量为960 g。每侧乳房抽吸脂肪量为50~120 ml,平均脂肪抽吸量为80 ml。术后2侧(3.13%)乳房血肿形成,64侧均未出现乳头乳晕坏死,所有患者乳头乳晕均感觉良好。随访3~6个月,垂直切口瘢痕不明显,乳房外形满意,乳房上方丰满,下皱襞无臃肿,外形良好。结论:垂直切口内侧蒂法联合脂肪抽吸术是一种有效的解决重度乳房肥大症的手术方法。Objective To evaluate the effect of medial pedicle vertical breast reduction combined with liposuction in patients with severe macromastia.Methods 32 patients(64 sides)with severe macromastia were treated with vertical incision medial pedicle reduction of giant breast.And liposuction was used to solve the problem of bloated folds under the breast.Results The amount of breast and adipose tissue removed unilaterally was 500-1900 g,and the average amount of tissue removed was 960 g.The amount of fat aspirated from each side of the breast was 50-120 ml,and the average amount of fat aspirated was 80 ml.Postoperative hematoma was formed in 2 sides(3.13%),and no necrosis of nipple areola was found in 64 sides.All patients felt good about nipple areola.Follow up for 3-6 months showed that the vertical incision scar was not obvious,the breast shape was satisfactory,the upper part of the breast was plump,the lower folds were not bloated,and the shape was good.Conclusion Medial pedicle vertical breast reduction combined with liposuction was an effective method for the treatment of severe macromastia.

关 键 词：垂直切口 内侧蒂 乳房整形 缩小术 乳房肥大 脂肪抽吸术 

分 类 号：R655.8[医药卫生—外科学]