双环法、Lejour 法与垂直双蒂法治疗乳房下垂的疗效比较

目的 探究双环法、Lejour 法与垂直双蒂法在乳房下垂治疗中的效果。方法 选取2015 年3 月- 2017 年2 月在武汉科技大学附属天佑医院诊治的67 例乳房下垂患者为研究对象，依据治疗方案不同，将其纳 入双环组23 例，Lejour 组26 例，垂直双蒂组18 例，比较3 组患者手术前后的临床资料。结果 Lejour 组温哥 华瘢痕评分低于双环组、垂直双蒂组（P <0.05）。Lejour 组满意度高于双环组、垂直双蒂组（P <0.05）；3 组 并发症发生率比较，差异无统计学意义（P >0.05）。末次随访时3 组乳房形态与术前相比效果明显，且Lejour 组与双环组、垂直双蒂组比较，差异有统计学意义（P <0.05）。末次随访时，3 组乳头乳晕感觉与术前比较差 异无统计学意义（P >0.05），组间比较差异无统计学意义（P >0.05）。结论 双环法、Lejour 法与垂直双蒂法 治疗乳房下垂，均能改善乳房症状，达到乳房塑形效果，且患者较满意，术后并发症发生率低，但Lejour 法治 疗后乳房形态更好，瘢痕更小，且依旧有泌乳功能。

Comparison of round block technique and Lejour technique with vertical bipedicle technique for treatment of breast ptosis

Objective To investigate the clinical effect of round block technique, Lejour technique and vertical bipedicle technique in the treatment of breast ptosis. Methods This research enrolled 67 cases of breast ptosis patients from March 2015 to February 2017 as the research objects. According to the different treatment plans, they were divided into three groups with 23 cases in round block group, 26 cases in Lejour group, and 18 cases in vertical bipedicle group. The preoperative and postoperative clinical data of the patients were compared among the three groups. Results The Vancouver scar score in the Lejour group was statistically lower than that in the round block group and the vertical bipedicle group (P < 0.05). The degree of satisfaction in the Lejour group was higher than that in the round block group and the vertical bipedicle group (P < 0.05); the complication rate in the Lejour group was lower than that in the round block group and the vertical bipedicle group, but there were no statistical differences (P > 0.05). The improvement of breast shape during the last follow-up after surgery was obvious in the three groups compared with the preoperative shape, the differences between the Lejour group and other two groups were statistically significant (P < 0.05). The nipple areola sensation in the 3 groups at the last follow-up was not statistically different from preoperative one, and there were no significant differences among the 3 group either (P > 0.05). Conclusions In the treatment of breast ptosis, round block technique, Lejour technique and vertical bipedicle technique could improve breast symptoms and achieve breast shaping effect with low incidence of postoperative complications. The patients are satisfied. However, using Lejour technique, the postoperative breast scar is smaller, breast shape is better, the function of lactation could still be retained.