乳晕上切口隆乳术联合乳房上提术在乳房下垂整形中的应用  

Application of Breast Augmentation with Supraareola Incision Combined with Breast Lifting Surgery in Breast Sagging Plastic Surgery

作　　者：张祥运 许尔长[2] 赵海 ZHANG Xiangyun;XU Erchang;ZHAO Hai(Department of Plastic Surgery,Chengdu High-tech Kyushu Huayun Medical Beauty Clinic,Chengdu 610094,Sichuan,China;Department of Burn and Plastic Surgery,Nanchong Central Hospital Affiliated to North Sichuan Medical College,Nanchong 637000,Sichuan,China)

机构地区：[1]成都高新九州华昀医疗美容门诊部整形外科,四川成都610094 [2]川北医学院附属南充市中心医院烧伤整形美容外科,四川南充637000

出　　处：《中国美容医学》2023年第12期23-26,191,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探究乳晕上切口隆乳手术联合乳房上提术在乳房下垂整形中的临床效果。方法:回顾性分析2020年6月-2021年12月于笔者医院接受乳房下垂整形手术的70例乳房下垂就医者资料,按整形手术方法不同分为对照组(n=34)和研究组(n=36)。对照组行双环法乳房下垂矫正术,研究组行乳晕上切口隆乳术联合乳房上提术。比较两组疗效、乳房形态相关指标、乳头乳晕感觉评分、并发症及就医者满意度。结果:术后12周,研究组手术疗效优良率高于对照组,乳房下皱襞中点至乳头距离、胸骨上窝至乳头距离短于对照组,过乳头胸围小于对照组,乳头乳晕感觉评分高于对照组,差异均有统计学意义(P<0.05);术后,研究组并发症发生率低于对照组(P<0.05);术后3个月,研究组就医者满意度高于对照组(P<0.05)。结论:乳晕上切口隆乳手术联合乳房上提术在乳房下垂整形中的临床效果佳,可改善乳房形态,乳头乳晕感觉良好,且并发症少,就医者满意度高。Objective To explore the clinical effect of supraareolar incision breast augmentation combined with mastopexy in the plastic surgery of breast ptosis.Methods The data of 70 patients with breast ptosis who underwent plastic surgery in our hospital from June 2020 to December 2021 were retrospectively analyzed.According to the different methods of plastic surgery,they were divided into a control group(n=34)and a study group(n=36).The control group was treated with double ring method breast ptosis correction,and the study group was treated with supraareola incision breast augmentation combined with mastopexy.The curative effect,breast shape related indexes,nipple and areola sensation scores,complications and patient satisfaction were compared between the two groups.Results Twelve weeks after operation,the excellent and good rate of surgical effect in the study group was higher than that in the control group,the distance from the midpoint of inframammal fold to the nipple and the distance from the suprasternal fossa to the nipple were shorter than those in the control group,the chest circumference of the nipple was smaller than that in the control group,and the nipple areola sensation score was higher than that in the control group,and the differences were statistically significant(P<0.05).After operation,the incidence of complications in the study group was lower than that in the control group(P<0.05).Three months after operation,the satisfaction of patients in the study group was higher than that in the control group(P<0.05).Conclusion The clinical effect of supraareolar incision breast augmentation combined with mammaplasty in the treatment of breast ptosis is good,which can improve the breast shape,the nipple and areola feel good,with few complications and high satisfaction of patients.

关 键 词：乳晕上切口 隆乳术 乳房上提术 乳房下垂 双环法 

分 类 号：R622[医药卫生—整形外科]