改良双环加垂直切口乳房下垂矫治术_美容整形资料.docx

[摘要]目的：利用多种术式的有机结合，探讨乳房下垂的新的矫治办法。方法：从2005 年3 月至2013 年6月，对于38 例中重度乳房下垂患者，在传统的双环和/ 或加垂直切口的基础上，进行部分旋转折叠及多个楔形皮肤切除等改进，以缩短恢复期，提高手术效果。结果：通过38 例患者的临床观察及术后随访，发现运用该方法不仅能够有效地矫治中重度乳房下垂伴肥大，同时可以使乳房变得更加挺拔，有韧性，术后乳晕双环切口皱褶恢复明显缩短，垂直切口瘢痕的长度较短，瘢痕不明显。结论：改良双环加垂直切口的乳房下垂 上提缩小术是一种较好的手术方法，值得临床推广。[关键词]?乳房下垂；双环加垂直切口；楔形切除；旋转折叠Improved double plus vertical incision breast ptosis correction CAI Mao-ji,FEI Yue,MO Xiao-lan(The Plastic and Cosmetic Centre,the 98th Hoepital of People's Liberation Army,Huzhou 313000, Zhejiang,China)Abstract:?Objective To use the combined operation,and explore new methods of treatment of breast ptosis. Methods From 2005 March to 2013 June,38 cases with moderate or severe breast ptosis for patients,in the traditional double loop and / or vertical incision basis,part of rotary folding and multiple wedge excision of skin,to shorten the recovery period,improve the operation effect.?Results All patients were followed up by clinical observation and operation in 38 patients,found that using this method can not only effectively in the correction of severe breast ptosis with hypertrophy,but also can make the breast becomes more tall and straight,toughness,postoperative recovery was significantly shorter incision areola double fold, vertical incision scar length is shorter,the scar is not obvious.Conclusion The modified double ring and vertical incision breast ptosis on reduction is a better operation method,and is worth the clinical promotion.Key words:?breast ptosis;double loop and vertical incision;wedge resection;rotating folding乳房下垂是中年女性比较常见的乳房畸形[1]，尤其是生育及哺乳后的女性。其主要原因是由于乳房内的乳腺和结缔组织几度增生，其后又发生萎缩，随乳房屡次增大而被牵拉伸展的皮肤和悬吊支撑结构等弹性降低，致使不再回缩复原，表现出乳房松弛下垂。乳房组织松弛而引起的乳房整体下垂，不仅影响形体的曲线美，而且乳房的下皱襞处容易发生湿疹疥疮等皮肤疾病，造成了患者生理及心理上的痛苦，因此需要手术治疗。笔者自2005 年3 月～2013 年6月，应用改良双环加重直切口矫治中重度乳房下垂者38 例，取得了满意的效果，现报道如下。1 临床资料本组38 例患者，年龄23～46 岁，平均年龄36岁，2 例未婚未育，其余均为生育后女性。乳房中度下垂者12 例，重度下垂者26 例。5 例乳房下垂伴乳房肥大，术中一并行部分乳腺切除。  2 手术方法2.1 术前设计：患者取坐位或立位，设计新乳头位置。以两上臂中点连线与锁骨中线交叉点为新乳头的位置。以乳头为中心，直径约3.5～4cm