垂直双蒂瓣乳房缩小术乳头乳晕区感觉评价-外科学 整形外科专业论文.docxVIP

Evaluation ofthe Nipplc担arcola Complex Seosibility after Reduction Mammaplasty by Vertical Bipedicle Dermoglandular Flap Post_graduatc Studem ， Li Xìnrong Tutor ，Prof Zha吨引mlllg Abstract Objective To give an evaluation of the Nipple-areola Complex sensibility after re对uction mammaplasty by vertical b?pedicle dermogl皿dular flap. Methods Light touch by cotton and neeJle t臼t were employed to evaluate nipple-areola con亨lex: sensibility ，矶山町 sensuality or sensation，after reduction mammaplasty using a bipedicle vert?cal dermoglandular flap for the ni附!e-areola ∞mplex: s，回国lily 认咀 ex:prcssed by nipple erectility and 回国01)叩 by areola contraction ， and the patient can feel paill after imprOVl吨 sensation. Resnlts l.Sensibi1ity for the nipple-areola complex: retums progressively in 6 months postoperatively.2.Retum of sensuality of nipple is earlier than scnsation of areolar .3 .Sensibility of superωf is earlier than inferior. 4.R，创um of sensibility for the nipple 盯eola complex are related 10 amount of the mammary tissue removed ，variety of the new areolar diameter and elevation of the nipple-areola complex to its new position. Conclusion Retum of the Nipple-areola Complex Sensibility a企er reduction mammaplasty by vertical bipedi c1e dermoglandular flap is satisfied [Keywordsl Nipple-areola complex(NAC) Vertical bipedicle dennoglandular flap Reduction mammaplasty sensatJon *正立* 垂直双蒂瓣乳房缩小术乳头乳晕区感觉评价 硕 l甘F究生李rc， 融导师张一鸣教授 前言 巴羽L症是整形外科较常见的 种疾病 病因不甚明了】临床上以 军L 房腺体组织或/和轧房脂肪组织的增生为特征 伴有不同程度的乳 房下垂使患者深受肉体上的痛苦及心理上的压力 目M 乳症的临 床治疗方法主要依棘于乳房缩小成形术，经常使用的乳房缩小成形术 有横行双手带瓣法 (Strmbecks method)、垂直双蒂瓣法(r.l cKi臼ock s method)、上蒂瓣法(Orlandos method) 、下蒂瓣法(Robbinsmethod) 、 基底蒂瓣法等这些孚术方法的解剖学基础主要来源于巩房的巨常血 液供用较好的解决了乳头事晕的向上移位』满意地切除了肥大的乳 腺组织和多余的皮肤?重塑了乳房外形并且很大程度上保留了乳房 尤其是乳头乳晕区的皮肤感觉 取得了满意的临床治疗放果 a 同时! 因为乳房缩小手术过程中需要进行轧头乳晕的复仰所以乳房缩小手 术之后可能会出现患者乳头乳晕区的皮肤感觉被迫或感觉消失的并 发症。并且巨乳症患者的乳房伸经多有七二期慢性的神经牵位所锐的损 伤或泡行变而导致感觉的减退或异常，合适的乳房缩小手术还可以在 定程度 k 改善乳房的神经支配 乳头乳晕区的神经支配主要