摘要
目的探讨内上方真皮腺体蒂乳房成形术对乳房肥大及乳房假体、聚丙烯酰胺水凝胶取出后的乳房畸形进行修复的疗效。方法对36例乳房肥大及乳房假体、聚丙烯酰胺水凝胶取出后乳房畸形的患者，行携带或不携带Wfiringer乳房水平中隔内上方真皮腺体蒂乳房成形术修复。结果36例患者，术后胸骨上凹至乳头距离为（20．10±1．94）cm，平均上提乳头7．5cm（4～13cm），并且均未出现血肿及乳头、乳晕复合体坏死等并发症。2例发生小段切口裂开（发生率为5．56％），其余均为I期愈合。28例获随访6～18个月，乳头、乳晕感觉良好，切口瘢痕不明显，乳房外形满意。结论应用内上方真皮腺体蒂术式可使乳房得到良好的塑形，同时又能充分保留乳头、乳晕复合体的血运及感觉功能，疗效满意。
Objective To investigate the effect of superomedial pediele mammaplasty in the treatment of the deformity of hypermastia, and secondary deformity after implants or polyacryamide hydrogel removal. Methods Thirty-six patients underwent a new technique for mammaplasty. This technique involved a superomedial pedicle with or without Wuringer＇s horizontal septum which was used to repair the deformity of hypermastia, and secondary deformity after implants or polyacryamide hydrogel removed. Results In our series, the new nipple-to-sternal-notch distance was （20. 10 ~ 1.94） cm postoperatively. Mean nipple elevation was 7.5 cm （range 4-13 em）, and there were no he- matoma and partial or complete nipple-areolar complex （NAC） necrosis occurred. Minimal wound de- hiscence occurred in two cases （5.56 %）, the rest cases were healed in stage I. Twenty eight pa- tients were followed up for 6 to 18 months. NAC sensibilities were comparable before and after opera- tion, and good breast shapes were produced with unconspicuous incision scar in all cases. Conclusions Superomedial pedicle mammaplasty could achieve satisfactory results with respect to breast contouring and scar, meanwhile maintain the NAC viability and sensibility.
出处
《中华医学美学美容杂志》
2013年第6期420-422,共3页
Chinese Journal of Medical Aesthetics and Cosmetology
