摘要
自１９９４年９月以来，对１１例乳房肥大及松垂患者施行了乳晕周围双切口乳房缩小及乳房悬吊术，其中７例正常体积的乳房下垂（中度），４例乳房下垂伴肥大。术中选择乳腺肿瘤的好发部位，乳腺的外上象限切除多余的乳腺组织，并形成以乳腺下极为蒂的内外侧乳腺组织瓣，内侧瓣向内翻转折叠缝合，固定在第三肋及肋间的胸大肌肌膜上。外侧瓣向上向内翻转，固定在第二肋骨骨膜上，皮肤切口做荷包缝合。缝合后所形成的局部皱褶多在３～４个月后自行逐渐变小、消失。本手术方法具有设计简单、血供可靠、乳腺组织固定确实、塑形好、乳头乳晕感觉正常、切口隐蔽及瘢痕不明显等优点。
SinceSeptember1994,11patientshadbeenoperatedmastopexywithdoubleperiareolarincision.7casesweremammaryptosis(moderatedegree)withnormalvolume.4casesweremammaryptosiscombinedwithhypertrophy.Thesuperolateralquadrantofbreastiscommonareawithtumor.Sotheredundantbreasttissueinthisareaisremovedtocreatetheinferiorpediclewithtwomedialandlat-eralflaps.Themedialflapisturnedandfoldedtomedialarea,andissuturedandfixedtothethirdribandintercostalmyolemmaofgreaterpectoralmuscle.Thelateralflapisturnedtosuperolateralarea,andisfixedtotheperiosteumofthesecondrib.Theskinincisionissuturedbypulingthepurse-strings.Theperiareolarcutaneousplicaeisgradualydisappearedafter3～4months.Theadvantagesofthetechniqueareasfolows:①thesimpledesign,②agoodbloodsupply,③dependablefixationofbreasttissue,④idealmodification,⑤thenormalsensationofnipple-aerolarcomplex,⑥concealskinincisionandinvisiblescar.Theresultsof11casesaresatisfactory.
