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 Clinical Application of the Reduction Mammaplasty with Superomedial Pedicle and Vertical Incision

Objective To explore a method of reduction mammaplasty that not only ensures the adequate blood supply and well function but also maintains good mammary appearance. Methods Ten patients with mammary hypertrophy were performed the breast reduction with superomedial pediele and vertical incision. Based on the preoperative design, the epidermis of the superomedial pedicle were removed to form glandular pedicle and the redundant skin and glandular tissue in the inferolateral quadrant were excised. After remodeling the shape of the mammary gland, the incision was sutured. Results There were no postoperative complications such as cutaneous necrosis, fat liquefaction, hypoaesthesia of the nipple and areola papillaris, hematoma, infection, et al. The incisions all healed by first intention. The patients were followed up for 3 to 12 months after operation. All the patients were satisfied with the therapeutic effect and expressed acceptance to the postoperative scar. Conclusion The breast reduction with superomedial pedicle and vertical incision was performed simply and safely. It was adequate for the patients with mild or moderate mastoplastia especially for the moderate ones. The satisfied effect could be obtained after operations or in future.