伴有乳房良性病变的巨乳缩小术27例  

A study of reduction mammaplasty in patients with breast benign diseases

作　　者：尹健[1] 张学慧[1] 宁连胜[1] 惠锐[1] 

机构地区：[1]天津医科大学附属肿瘤医院乳腺科,天津300060

出　　处：《中华整形外科杂志》2003年第4期270-272,共3页Chinese Journal of Plastic Surgery

摘　　要：目的　探讨乳房肥大下垂同时伴有良性病变的巨乳缩小术的方法。方法　 1980年 11月～ 2 0 0 1年 12月 ,共收治乳房肥大下垂伴乳腺良性病变的患者 2 7例 5 2侧 ,根据乳腺病变的性质、部位、大小以及乳房肥大下垂的程度 ,选择下述不同的术式 ,行下方垂直蒂瓣法 9例 (17侧 ) ,垂直双蒂瓣法 16例 (31侧 ) ,双环形切口乳房缩小术 2例 (4侧 )。结果　术后外观评价良 2 5例 4 9侧占94 2 % ,差 2例 3侧占 5 8%。术后乳房疼痛改善率为 95 8% ,肩、背痛 ,睡眠明显改善为 10 0 % ,乳房下皱襞湿疹、皮炎未再发生为 10 0 % ,2 7例患者术后着装均满意。结论　乳房缩小整形手术是治疗乳房肥大下垂 ,同时伴有乳腺良性病变的首选治疗方法。Objective To study the efficacy and complications of the method for reduction mammaplasty in patients with breast benign diseases. Methods From November 1980 to December 2001, reduction mammaplasty was performed in 27 patients with breast hypertrophy, ptosis and benign diseases. The operation methods were selected according to the characters of the diseases and the extent of breast hypertrophy and ptosis. 9 patients received reduction mammaplasty using an inferior pyramidal pedicle technique; 16 patients received Mckissock vertical bipedicle technique and 2 patients received the bicyclic incision technique. Results The successful rate was 94.2%. Three breasts developed areola necrosis in Mckissock. Symptoms caused by breast hypertrophy and benign diseases were improved apparently. Conclusion Reduction mammaplasty is the best option for the treatment of breast hypertrophy and ptosis with benign diseases. The method of reduction mammaplasty should be taken individually.;

关 键 词：乳房肥大下垂 乳房良性病变 巨乳缩小术 下方垂直蒂瓣法 垂直双蒂瓣法 双环形切口乳房缩小术 

分 类 号：R655.8[医药卫生—外科学]