摘要
目的对应用不同切口与蒂进行乳房缩小整形术的适应证、手术效果及各种方法的优缺点进行对比分析。方法2003至2004年,我们采用不同切口与蒂行乳房缩小整形术31例,术后对患者就外形满意度、乳头乳晕感觉及切口瘢痕满意度进行问卷调查。结果外形满意率乳腺蒂组100%,内侧蒂组75%,外下蒂组100%,下蒂组84.6%;应用环乳晕切口83.3%,倒T形切口89.9%,短L形切口80.6%,垂直切口100%,短横倒T形切口100%。结论倒T形切口仅适用于肥大程度较重的乳房,环乳晕切口较适合于轻度的乳房肥大,短L形切口、垂直切口和短横倒T形切口吸收了两者的优点,既缩小乳房基底部,使形成的乳房比较挺拔又不会形成较大的瘢痕。轻度乳房肥大,乳腺蒂是最佳的选择;对于中度乳房肥大,应根据切口的设计选择下蒂或外下蒂;而对于较重度乳房肥大,则以下蒂为首选。
Objective To investigate the efficacy, indication, advantage and disadvantage of methods for reduction mammplasty. Methods Thirty one cases with breast hypertrophy received reduction mammplasty using various incisions and pedicles. Based on the follow-up of the cases, the appearance, nipple-areola complex sensory function and scars were evaluated. Results Among the skin incision pattern, inverted T, short-horizontal invert T and vertical incision got excellent breast contour(100%), otherwise, periareola incision got the less scar(100%). The postoperative result of lateral pedicle, lateral inferior pedicle and mammary gland pedicle were satisfactory in terms of the nipple-areola sensation and the amount of mammary tissue removed. Conclusions Breast contour and scar formation postoperative are related to incision design, Invert T incision or short-horizontal invert T incision is a good alternative to moderate and large hypertrophies, Periareolar incision is suitable to small hypertrophies. There is a relationship existing between pedicle location and retention of sensation or amount of mammary tissue removed. The inferior pedicle and lateral-inferior pedicle allows better shaping as well as maintaining good sensation.;
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2005年第3期169-171,共3页
Chinese Journal of Plastic Surgery
