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较大纤维腺瘤切除乳腺腺体瓣成形术的临床应用
引用本文:刘小丰,周茜,陈飞,殷虹,达应祥,马晶晶,谢晖,张敏,陆澄. 较大纤维腺瘤切除乳腺腺体瓣成形术的临床应用[J]. 中国现代手术学杂志, 2011, 15(5): 325-327
作者姓名:刘小丰  周茜  陈飞  殷虹  达应祥  马晶晶  谢晖  张敏  陆澄
作者单位:1. 南京医科大学附属南京市妇幼保健医院乳腺科,南京,210004
2. 南京医科大学附属南京市妇幼保健医院乳腺科,南京210004;南京中医药大学外科研究室,南京210029
基金项目:南京市卫生局课题YKK09080资助
摘    要:目的介绍一种简易可靠的乳头乳晕复合体(nipple-areola complex,NAC)下方较大纤维腺瘤切除后Ⅰ期行乳腺腺体瓣支撑的乳房成形术的方法与临床应用。方法 NAC下方较大纤维腺瘤1例患者,行较大纤维瘤切除术后,对下侧乳腺腺体纵行放射状切开,使腺体瓣呈四面体形,将四面体形的腺体瓣顶端与乳晕上方对应的腺体缝合,再将下侧腺体的两个切开面予以缝合。结果 NAC位置无偏移,无塌陷,术后外观效果好。结论本术式是一种安全可行的乳房支撑成形术,适用于NAC下方较大的纤维腺瘤切除后的乳房成形。

关 键 词:纤维腺瘤  乳房成形术  腺体瓣  乳腺肿瘤

Large Fibroadenoma Resection and Breast Plasty with Glandular Flap in Clinical Practice
LIU Xiao-feng,ZHOU Qian,CHEN Fei,YIN Hong,DA Ying-xiang,MA Jing-jing,XIE Hui,ZHANG Min,LU Cheng. Large Fibroadenoma Resection and Breast Plasty with Glandular Flap in Clinical Practice[J]. Chinese Journal of Modern Operative Surgery, 2011, 15(5): 325-327
Authors:LIU Xiao-feng  ZHOU Qian  CHEN Fei  YIN Hong  DA Ying-xiang  MA Jing-jing  XIE Hui  ZHANG Min  LU Cheng
Affiliation:LIU Xiao-feng,ZHOU Qian,CHEN Fei,YIN Hong,DA Ying-xiang,MA Jing-jing,XIE Hui,ZHANG Min,LU Cheng (Breast Centre,Nanjing Maternal and Child Health Hospital Affiliated to Nanjing Medical University,Nanjing 210004,Jiangsu,China)
Abstract:Objective A large breast fibroadenoma beneath nipple-areola complex(NAC) frequently causes NAC collapse and a bad cosmetic result.In order to solve this dilemma,a simple and feasible surgical procedure is explored in this study.Besides,literatures about the basic research of breast blood supply are reviewed.Methods The surgical experience in a patient was summarized by describing surgery procedure including the design of a glandular flap and glandular flap suturation skill.The undersurface of the mammary gl...
Keywords:fibroadenoma  mammaplasty  glandular flap  breast neoplasms  
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