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华西医学  2010 

垂直上蒂法乳房缩小整形术的改良应用

, PP. 1220-1222

Keywords: 巨乳症,乳房缩小术,垂直上蒂

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Abstract:

【】目的探讨垂直上蒂法乳房缩小整形术在治疗巨乳症中的改良应用。方法2007年1月-2009年10月对18例乳房肥大患者行垂直上蒂法乳房缩小整形术,设计乳晕下做垂直切口,乳房下皱襞上1~2cm做弧形切口;乳晕上新乳头区域去皮制皮下蒂,切开形成左右两侧皮瓣,乳头乳晕垂直向上折叠缝合于新乳头位置,逐步分次去除多余皮肤及乳腺组织,不悬吊固定切除后的乳腺组织,向中央收紧乳房,获得轮廓饱满、曲线圆滑的新乳房。结果手术效果良好,乳房外形饱满,轮廓曲线圆滑,随访半年后乳头乳晕感觉恢复良好,切口瘢痕小,患者满意。结论此改良法治疗中重度巨乳症术后乳房形态效果满意,设计与手术操作简便,值得推广。【Abstract】ObjectiveToexploretheimprovedapplicationofverticalsuperiorpediclebreastreductionmammaplastyinmacromastiatreatment.MethodsBetweenJanuary2007toOctober2009,arcincisionabovesubmammaryfold1-2centimetersandverticalincisionthroughinferiormammaryareolaweredesigned.Newmamillaryregionskinsuperiormammaryareolawasdeepithelializedandformedsubcutaneouslypedicle.Mammaryareolaandnipplesubcutaneouslypediclewereverticallyupwardplicatingsuturedtoformnewnipplearea,theredundantskinandmammaryglandweregraduallyexcised,andobtainedanewsaponaceouscurvedmammary.ResultsTotally18cases(36mammaries)wereperformedbythismethod.After6months’follow-up,theresultsshowedthatnewmammarieshadgoodshape,saponaceousoutlineandlittlescarinincision,sensationonmammarynippleandareolarecovered.Allpatientsweresatisfiedwiththepostoperativeresults.ConclusionImprovedverticalsuperiorpediclebreastreductionisanidealbreastreductionmethodformoderateandseveremacromastia,andthetechniqueisconvenientindesignandoperation.

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