双环加垂直切口的乳房上提缩小术

目的:探讨结合不同术式的新乳房上提缩小术。方法:2012年1月以来,应用双环加垂直切口的乳房上提缩小方法行8例手术。结果:乳房肥大下垂得到明显矫正,乳头按需要上提3～7cm,切除乳腺组织100～350g,乳房外形挺拔,医患双方均比较满意。结论:双环加垂直切口的乳房上提缩小术是一种较好的手术方法。     

垂直切口乳房缩小术

目的　探讨应用垂直切口巨乳缩小术以减少术后瘢痕的方法与体会。方法　采用Lejour手术设计 ,切除乳房下方的皮肤、腺体 ,乳头乳晕以上方真皮腺体组织蒂转移提高到正常位置 ,进行乳房塑形 ,术后仅留有垂直瘢痕。结果　采用垂直切口巨乳缩小术治疗 2 4例 ,手术效果满意。 1例术后 6个月切口下端局部修整残留的“猫耳朵”。 1例单侧乳头乳晕完全坏死。结论　垂直切口巨乳缩小术疗效良好 ,术后瘢痕细小 ,乳房形态良好。     

乳房后间隙注射自体脂肪隆乳术后乳房内多发性囊肿1例

乳房后间隙注射自体脂肪隆乳术后乳房内多发性囊肿１例姜军詹新恩患者女，３０岁。职业时装模特。因生产哺乳后双侧乳房轻度松驰、下垂。为增加乳房隆起度，２年前在某医院取自体臀部脂肪（具体方法不详）注射入双侧乳腺后间隙，术后乳房外观丰满，自觉无特殊不适。但数月...     

口内切口切除面部皮脂腺囊肿

皮脂腺囊肿多需手术治疗。有的患者因惧怕手术而延误治疗，以至并发感染造成面部瘢痕。我科门诊采用经口内切口，切除皮脂腺囊肿效果满意，报道如下。     

CO2激光切除及焊接皮肤切口治疗面部皮脂腺囊肿疗效观察

目的 对比观察常规外科切除缝合手术及CO2激光切除焊接切口治疗面部皮脂腺囊肿(sebaceous cyst,SC)的疗效及美容效果.方法 200例面部SC患者随机分为CO2激光手术治疗组(激光组)和常规外科手术治疗组(对照组),每组各100例.激光组采用CO2激光(功率20 W、光斑直径0.2 cm、功率密度637 W/cm2)切割皮肤及摘除囊肿,如囊壁破裂则汽化残留囊壁,清洁皮肤创口后,采用激光焊接皮肤吻合器对合皮缘,行CO2激光(功率1W、光斑直径0.2 cm、功率密度32 W/cm2)扫描式焊接;对照组经皮肤切口、摘除囊肿及囊壁后采用1-0丝线全层间断缝合切口.结果 激光组治愈97例,占97％,好转3例,占3％;对照组治愈89例,占89％,好转9例,占9％,无效2例,占2％,激光组治愈率高于对照组(P＜0.05);创口愈合后外观效果激光组明显好于对照组(P＜0.01);激光组皮肤切口焊接成功率100％.结论 采用CO2激光手术切除面部SC并焊接皮肤切口,可有效地减少SC的复发和瘢痕形成的概率,尤其是CO2激光焊接皮肤切口法,建立了一种新的无缝线皮肤切口修复方法,对美容整形外科具有重要的应用价值.     

改良双环切口松垂乳房上提术报告

乳房松垂为许多哺乳后妇女所苦恼 ,而乳房上提术既要尽量达到美容效果 ,又要力图使术后瘢痕隐蔽不显 ,这就是美容外科医生要解决的问题。传统的垂直双蒂法乳房矫形术 ,会使受术者术区形成倒“T”型瘢痕。为了解除这种缺陷 ,自 1 995年以来 ,笔者对传统方法以及国内学者乔群、刘道功 [1]等人的乳晕环状切口法再次进行改良。经 1 0例改良的乳晕环状切口乳房上提术的手术体会 ,认为此法可行 ,效果满意。1　临床资料本组 1 0例 ,年龄 2 3岁～ 45岁 ,均已婚并有哺乳史 ,停止哺乳 2年～ 1 0年。哺乳前均认为自己的乳房较常人丰满。其中 9例单纯行…     

应用电离子与小切口微创摘除治疗颜面部皮脂腺囊肿458例

目的:为了探索颜面部皮脂腺囊肿理想的治疗方案,减少瘢痕的大小,作者对458例颜面部皮脂腺囊肿患者依据囊肿的大小分组,采取不同的治疗方案.方法:将皮脂腺囊肿直径小于1.5cm的采用多功能电离子治疗,而囊肿直径大于1.5cm的则采用小切口微创摘除术.结果:所有患者均Ⅰ期愈合.随访3月～1年,2例患者复发,均为应用电离子治疗的患者,且有既往红肿或破溃史,复发的患者采用小切口微创摘除术治愈.所有患者瘢痕均不明显,治疗效果满意.结论:通过依据囊肿的大小,分别采用电离子治疗或小切口微创摘除术治疗颜面部皮脂腺囊肿,患者创伤小,愈合后瘢痕不明显,满意度高,值得推广.     

囊肿前壁开窗术治疗耳后皮脂腺囊肿伴感染脓肿形成的临床效果

目的 探究囊肿前壁开窗术治疗后耳后皮脂腺囊肿伴感染的效果。方法 选取我院于2021年 2月-2022年12月收治的76例耳后皮脂腺囊肿伴感染脓肿患者为研究对象,按照随机数字表法为对照组和探 究组,每组38例。对照组应用脓肿切开引流后手术切除治疗,探究组应用囊肿前壁开窗术治疗,比较两 组临床疗效、满意度、生活质量及创口愈合情况。结果 探究组治疗总有效率为97.37%,高于对照组的 84.21%（P＜0.05）;探究组满意度为100.00%,高于对照组的86.84%（P＜0.05）;探究组各维度生 活质量评分优于对照组（P＜0.05）;探究组创口愈合时间、瘢痕直径与脓肿长轴直径比值优于对照 组（P＜0.05）。结论 运用囊肿前壁开窗术治疗耳后皮脂腺囊肿伴感染脓肿形成效果确切,能够提高患者 满意度,改善其生活质量,促进创口尽快愈合,值得临床应用。     

乳晕环状切口垂乳上提巨乳缩小术

自１９９０年５月，应用乳晕环状切口行垂乳上提及巨乳缩小术２２例，术后乳房形态自然美观，乳头乳晕感觉不受影响，切口位于乳晕与正常皮肤交界处，痕迹不明显，消除了传统术式倒Ｔ字瘢痕，手术损伤小，设计简单。     

乳晕环状切口垂乳上提巨乳缩小术

自１９９０年５月，应用乳晕环状切口行垂乳上提及巨乳缩小术２２例，术后乳房形态自然美观，乳头乳晕感觉不受影响，切口位于乳晕与正常皮肤交界处，痕迹不明显，消除了传统术式倒Ｔ字瘢痕，手术损伤小，设计简单。     

Suspicious Node Found at the Time of Reduction Mammaplasty

A case of a patient with a suspicious glandular node found during reduction mammaplasty is described. The preoperative search for such nodes, the management of cases on which a suspicious node is found intraoperatively, and a situation on which the diagnosis of breast cancer is made during histology are discussed. When a suspicious small node (with a diameter up to 2 cm) is detected during a cosmetic breast surgery, lumpectomy can be performed. It may be a definite surgical treatment, depending on stage and tumor type. In the case presented, histology revealed intraductal papiloma, a benign tumor, therefore lumpectomy was a suitable procedure with an acceptable cosmetic result. With the increased incidence of breast cancer, this situation will happen more often and technical options for the management of such cases deserves the attention of plastic surgeons.     

竖直切口内上蒂巨乳缩小术的临床应用

目的 根据巨乳缩小术的手术原则,探讨一种既能保证乳房血供和功能,又能保持良好乳房外观的手术方式,并观察其临床疗效.方法 本组共10例乳房肥大症患者,采用竖直切口结合内上蒂法行乳房缩小术.根据术前设计,去除内上蒂表皮,形成腺体蒂,再切除外下象限多余的皮肤及腺体,重塑乳房形态.结果 术后无皮肤坏死、脂肪液化、乳头乳晕感觉减退、血肿和感染等并发症发生,切口均Ⅰ期愈合.术后随访3～12个月,患者对术后乳房外观形态及功能均表示满意,能接受术后瘢痕.结论 竖直切口内上蒂巨乳缩小术操作简单、安全,对轻、中度,特别是中度乳房肥大患者特别适用,术后和远期均能达到满意疗效.     

The Safety of Pedicles in Breast Reduction and Mastopexy Procedures

Nipple necrosis is a potential complication of breast reduction and mastopexy procedures that can be prevented if the surgeon is acquainted with the arterial blood supply to the breast, particularly the nipple–areolar complex (NAC). A review of the latest research on this with its clinical application is given.     

PWS病灶皮脂腺增生与血液雄激素水平的相关性研究

目的探讨葡萄酒色斑(Portwinestains,PWS)病灶组织的增厚、皮脂腺增生与血液中雄激素睾酮水平之间的关系。方法选取39例头面部PWS的成年患者,根据病灶的大体和病理学检查结果,分为病灶平坦皮脂腺未增生和病灶增厚皮脂腺增生两组。检测患者血清雄激素睾酮浓度,按照不同性别比较,并进行统计学分析。结果女性PWS病灶平坦皮脂腺无增生组的血液雄激素睾酮浓度为0.415±0.122pg/mL;女性PWS病灶增厚皮脂腺增生组的血液雄激素睾酮浓度为0.625±0.245pg/mL;两组有显著性差异(P<0.05)。男性PWS病灶平坦皮脂腺无增生组的血液雄激素睾酮浓度为4.561±1.166pg/mL;男性PWS病灶增厚皮脂腺增生组的血液雄激素睾酮浓度为6.353±1.688pg/mL;两组有显著性差异(P<0.05)。结论 PWS病灶增厚皮脂腺增生的患者与同性别病灶平坦无皮脂腺增生患者的血液雄激素睾酮浓度存在有显著的统计学差异,提示病灶组织的增厚与血液中雄激素水平增高存在相关性。     

Mammaplasty for Mild and/or Ptotic Breast Through Short Incision at the Inframammary Sulcus: A Personal Approach

Small to moderate pexy and breast reduction have been treated through a 5-cm length access view incision placed at the inframammary sulcus. Resection of up to 450 g in each breast are obtained. Overlapping and plication of two glandular flaps dissected from the lower breast quadrants complete the suspension and fixation of the breast in its ideal position. The areola remain untouched.     

Long-Lasting Evolution of Ptosis Control After Reduction Mammaplasty Using the Hammock Technique

Background The hammock technique combines inferior pedicle mammaplasty with retropectoral and inferior suspensions to prevent displacement of breast tissue toward the inferior mammarian pole. This study aimed to assess the long-lasting internal suspension with the author’s mammary reduction technique. Methods From 1987 to 2005, the hammock technique was performed for 623 breast reduction patients (1,201 breasts), including 318 women (636 breasts) who underwent the technique between 1994 and 2005. From the latter group, the author retrospectively reviewed the case histories of 281 patients who had come for long-term follow-up evaluation. All had significant ptosis associated with breast hypertrophy. Preoperative and postoperative examinations included evaluation of postoperative bottoming out by monitoring of three measurements: the sternal notch-to-nipple length, the inferior areolar border-to-inframammary fold length, and the distance between the inframmary fold and the projection of the lowest breast contour on the chest wall. Results The evaluation data on postoperative ptosis are derived from a control study at 30 months, 5 years, and 7 years or more for 281 women (562 breasts) of the 318 who underwent surgery using this technique over the 11-year period. Review after 2.5 to 7 years or more shows that inferior areolar border-inframammary fold distance increases no more than 10 mm. Conclusions The hammock technique suspension achieves true permanent breast lifting through dermis strips from the inferior pedicle itself. This procedure also gives predictable results, a low morbidity rate, and good breast shape.     

Vertical Scar with the Bipedicle Technique: A Modified Procedure for Breast Reduction and Mastopexy

Background Reduction mammaplasty and mastopexy are commonly performed aesthetic procedures. One such procedure, the vertical scar technique, has gained popularity in recent years, and various types of pedicles have been designed and associated with it. The vertical scar with the bipedicle technique is one such combination that ensures nipple safety and minimizes scarring, with a good aesthetic result. Method With the vertical scar marked on the outside and the bipedicle flap marked on the inside, the procedure was performed for 23 patients. Results Between 2004 and 2006, 17 reduction mammoplasties and 6 mastopexies were performed. The average tissue resection was 360 g, and the average blood loss was 70 g. The average preoperative nipple–areolar complex was 28 cm (range, 23–41 cm). Good results were achieved for the majority of the patients, with no nipple loss or loss of sensation. Conclusion The vertical scar bipedicle technique, a combination that meets the requirement of minimum scarring and a robust blood supply to the nipple–areolar complex, is a suitable option for selected reduction mammaplasty and mastopexy.     

三维扫描技术检测呼吸状态对乳房整形术后体积变化的影响

目的：通过三维扫描技术,检测呼吸状态对乳房整形术后体积变化的影响。方法自2010年1月至2010年12月,随机选取20例假体隆乳术后患者作为研究对象,在不同呼吸状态下接受3次乳房三维扫描：自然呼气末（Scan 1）、自然吸气末（Scan 2）和自然呼气末（Scan 3）。使用计算机软件测量Scan 1和Scan 3之间（R1）、Scan 1和Scan 2之间（R2）的乳房体积变化和三维偏差,并检测乳房体积变化与三维偏差的相关系数。结果本组术后乳房平均体积为（354.1±53.9） mL;R1的乳房体积变化和三维偏差均明显小于R2（9.9 mL VS 22.7 mL,P〈0.05;0.9 mm VS 1.7 mm,P〈0.05）;R1的乳房体积变化与三维偏差无明显相关（P〉0.05）,但是R2的乳房体积变化与三维偏差明显正相关,相关系数为0.766（P〈0.05）。结论保持乳房三维扫描时呼吸状态的一致性,对于准确测量乳房体积变化具有重要意义。