[1] 崔 乐,马铭玉,邹 丹,等. 改良双环法与无垂直瘢痕下蒂瓣法乳房缩小术疗效比较[J].中国美容医学,2020,(12):65-69.
　 CUI Le,MA Ming-yu,ZOU Dan,et al. Comparison of Modified Double Ring Method and Inferior Pedicle Flap withoutVertical Scar in Reduction Mammaplasty[J].Medical Aesthetics and Beauty,2020,(12):65-69.
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 改良双环法与无垂直瘢痕下蒂瓣法乳房缩小术疗效比较
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2020年12期
页码:
65-69
栏目:
出版日期:
2020-12-10

文章信息/Info

Title:
 Comparison of Modified Double Ring Method and Inferior Pedicle Flap without
Vertical Scar in Reduction Mammaplasty
文章编号:
1008-6455（2020）12-0065-05
作者:
 崔 乐; 马铭玉; 邹 丹; 宋爱琳
Author(s):
 CUI Le; MA Ming-yu; ZOU Dan; SONG Ai-lin
关键词:
 [关键词]巨乳症; 乳房肥大; 乳房下垂; 改良双环法; 下蒂瓣; 乳房缩小术
Keywords:
 Key words: macromastia;  breast hypertrophy;  mastoptosis;  modified double ring method;  inferior pedicle flap;  reductionmammaplasty
分类号:
R655.8
文献标志码:
A
摘要:
[摘要]目的：对比分析改良双环法和无垂直瘢痕下蒂瓣法在乳房缩小整形术中的临床效果。方法：回顾总结乳房肥大女性患
者30例的临床资料，按手术方式的不同将其分为A组和B组，均为15例，其中A组行改良双环法乳房缩小术，B组行无垂直瘢
痕下蒂瓣法乳房缩小术，术后均随访6个月～1年。记录患者满意度主观评价、医师对术后乳房评价、术后并发症情况等。结
果：两组患者症状均明显缓解，乳房体积明显减小，外观良好，术者医师评价与患者主观满意度之间基本一致，且组间比较
差异无统计学意义（P ＞0.05）。A组乳头乳晕感觉及术后瘢痕情况均优于B组，差异有统计学意义（P ＜0.05）。结论：两种
方法均可以得到较好的临床效果。但是适应证略有差别，轻中度乳房肥大伴下垂，且要求术后瘢痕隐蔽的患者宜选改良双环
法缩小术，中重度乳房肥大伴下垂的患者宜选无垂直瘢痕下蒂瓣法乳房缩小术。

Abstract:
Abstract: Objective To compare the clinical effect of modified double ring method and inferior pedicle flap without vertical
scar in reduction mammaplasty. Methods This retrospective study enrolled 30 female patients with breast hypertrophy. Patients
were categorized according to types of operation, they were divided into the group A and the group B, each group 15 cases.
Patients in the group A underwent modified double ring method, while patients in the group B underwent inferior pedicle
flap without vertical scar. The follow-up period lasted 6 months to 1 year. Patient satisfaction,postoperative evaluation,and
postoperative complications were assessed. Results Both treatments reduced breast volume significantly and relieved
symptoms. Doctors’evaluation on surgery and patients’ satisfaction were basically the same, there was no significant difference
between the two groups (P ＞0.05). The nipple areola sensation and postoperative scar in the group A were better than those
in the group B, the differences were statistically significant (P ＜0.05). Conclusion Both methods achieve better clinical
outcomes,but the indications between two methods are slightly different. For patients with mild to moderate breast hypertrophy
with ptosis, and the postoperative scar concealment, the modified double ring method should be selected. For patients with
moderate or severe breast hypertrophy and ptosis, breast reduction with pedicle flap without vertical scar should be selected.

相似文献/References:

[1]红梅.垂直切口内侧蒂式乳房缩小整形术的疗效及并发症分析唐红梅[J].中国美容医学,2022,(4):43.
　TANG Hongmei.Analysis of Curative Effect and Complications of Medial Pedicle Reduction Mammaplasty with Vertical Incision[J].Medical Aesthetics and Beauty,2022,(12):43.

更新日期/Last Update: 2021-01-05