摘要
【摘要】目的探讨一种较好地矫治乳头肥大畸形的手术方法。方法2008年7月至2011年6月。采用改良z形切口术式矫治乳头肥大畸形22例（44侧）。术前设计包括乳头顶部和体部2个环形、1个四边形和乳头基底部1个三角形切口线，以降低乳头高度、缩小乳头直径及乳头基底部。双侧对称设计。结果22例（44侧）术后切口均一期愈合，患者仰卧位乳头平均直径由（17．6±3．4）mm变为（9．8±1．6）mm，平均高度由（18．8±3．6）mm变为（8．2±1．4）mm。随访14个月至4年，平均28．0个月，术后效果满意，无乳头坏死、感染或乳头麻木等并发症发生，术后患者心理困扰和身体不适明显减轻。术后1年20例患者完成了自行设计的调查量表，其中4例术后正常哺乳，其余患者术后没有生育和哺乳。结论改良z形切口术式适用于任何高度和直径的乳头肥大患者，不仅可以降低乳头高度、缩小乳头直径、缩窄乳头基底部，且不破坏乳头感觉及泌乳功能。
Objective To explore an ideal surgical method for nipple hypertrophy correction. Methods From July 2008 to June 2011, 44 nipple reductions were performed for 22 women（44 sides） by using the modified Z-shaped incision technique. The incision consists of two circles, one quadrangle and one triangle located on the top, body and base of the nipple. The nipple＇ s height was decreased and the nipple diameter and base area were reduced. Bilateral nipples were designed symmetrically. Results 22 eases（44 sides） were treated with primary healing. The mean diameter of the nipple was reduced to （9.8 ＋ 1.6） mm from （17. 6 ＋ 3.4） ram, the average height from （18.8 ＋ 3.6） mm to （8.2 ＋ 1.4） ram, with the patient supine. All the patients were followed up for 14 months to 4 years with satisfactory results. No nipple necrosis, infection and numb happened. 20 patients completed the self-designed survey scale 1 year after operation, of which 4 cases achieved normal lactation, and the remaining patients didn＇ t have childbirth and breasffeeding yet. Conclusions The modified Z-shaped incision technique could reduce the height, diameter, and most importantly, reduce the basal shape of all types of hypertrophic nipple to create a desired new cylindrical nipple without affection of nipple sensation and function.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2014年第1期14-17,共4页
Chinese Journal of Plastic Surgery
