[1] 赵敬国,赵翌君,周 壮,等. 垂直切口上蒂法治疗乳房肥大的临床效果研究[J].中国美容医学,2021,(1):18-20.
　 ZHAO Jing-guo,ZHAO Yi-jun,ZHOU Zhuang,et al. Clinical Study of Superior Pedicle Method Combined with Vertical Incision in theTreatment on Hypermastia[J].Medical Aesthetics and Beauty,2021,(1):18-20.
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 垂直切口上蒂法治疗乳房肥大的临床效果研究
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2021年1期
页码:
18-20
栏目:
出版日期:
2021-01-10

文章信息/Info

Title:
 Clinical Study of Superior Pedicle Method Combined with Vertical Incision in theTreatment on Hypermastia
文章编号:
1008-6455（2021）01-0018-03
作者:
 赵敬国1; 赵翌君2; 周 壮1; 闫书禄1; 刘赢银1; 张 梅1; 杨丽萍1; 陈德法1; 李富强1
Author(s):
 ZHAO Jing-guo1; ZHAO Yi-jun2; ZHOU Zhuang1; YAN Shu-lu1; LIU Ying-yin1; ZHANG Mei1; YANG Li-ping1; CHEN De-fa1; LI Fu-qiang1
关键词:
 [关键词]乳房肥大; 乳房缩小术; 上蒂; 垂直切口; 乳头乳晕复合体; 并发症
Keywords:
 Key words: hypermastia;  reductive mammoplasty;  superior pedicle;  vertical incision;  nipple areola complex;  complications
分类号:
R655.8
文献标志码:
A
摘要:
[摘要]目的：探讨垂直切口上蒂法治疗乳房肥大的临床效果。方法：2017年5月-2019年6月，采用垂直切口上蒂法治疗乳房
肥大56例（112侧），根据术前设计去除蒂部表皮，切除多余的皮肤及乳腺组织，自下而上对合内外侧乳腺，V-Y推进乳头乳
晕复合瓣至适当位置，固定乳头乳晕后，逐层缝合。结果：术后随访6～18个月，40例患者对术后乳房形态，对称性及瘢痕
满意；6例（8侧）出现了皮下脂肪液化，切口延期愈合；10例（12侧）切口出现瘢痕增生，患者基本满意。结论：对于乳房
肥大患者，术前根据乳房肥大下垂程度设计乳头的位置，术中在减小乳房体积前提下，确保乳头乳晕血运，最大程度保留乳
头乳晕感觉及乳房的泌乳功能，尽可能减少术后切口瘢痕及恢复双侧乳房的良好外形和对称性。

Abstract:
Abstract: Objective To explore the application of superior pedicle method combined with vertical incision in the treatment of
hypermastia. Methods From May 2017 to June 2019, 56 cases (112 sides) with hypermastia were treated by superior pedicle
method combined with vertical incision. According to preoperative design, the epidermis of the pedicle, the excess skin and
glandular tissue were removed. From bottom to top, the inner and outer mammary glands were closed and V-Y pushed the
nipple areola to the proper position. After the fixation of nipple areola, the incision was closed layer by layer. Results Fiftysix
cases were followed-up for 6 to 18 months. 40 patients were satisfied with breast shape, symmetry and scar. Fat liquefaction
occurred in 6 patients (8 breasts) and healed after multiple dressing changes. Scar hyperplasia occurred in 10 patients (12
breasts). The patients were satisfied with the postoperative outcomes. Conclusion For patients with hypermastia, the new
location of nipples should be determined according to the degree of mastoptosis and hypermastia. Under the premise of reducing
the volume of breast, ensured the blood supply of nipple areola, reserved the feeling of nipple areola and the lactation function
of breast to the greatest extent, reduced the scar of incision and restored the good shape and symmetry of bilateral breast.

相似文献/References:

[1]丁 浩,赵 宇,张 林,等. 下蒂法联合真皮悬吊技术在巨乳缩小术中的应用[J].中国美容医学,2019,(08):7.
　DING Hao,ZHAO Yu,ZHANG Lin,et al. Application of Inferior Pedicle Method Combined with Dermal Suspension SlingTechnique in Reduction of Macromastia[J].Medical Aesthetics and Beauty,2019,(1):7.
[2]张 娜,易茂林.改良Lejour法在乳房下垂整形中的应用[J].中国美容医学,2019,(10):20.
　ZHANG Na,YI Mao-lin. Application Effect of Modified Lejour Method in Mammoplasty for Mastoptosis[J].Medical Aesthetics and Beauty,2019,(1):20.
[3] 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.
　 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,(1):65.

更新日期/Last Update: 2021-02-02