乳腺中心蒂和内上蒂结合的乳房缩小术

Central mound pedicel combined with super medial parenchyma pedicel technique for breast reduction

目的:为了保证乳房皮肤血运、乳头感觉功能正常及提高乳房术后远期效果,我们设计应用乳腺中心蒂与内上蒂结合的手术方法。方法:从2003年～2007年我们为25位病人实施乳房缩小手术。主要步骤包括:以乳头乳晕为中心设计乳腺中心蒂的范围,然后向乳房内上方延伸形成乳腺内上蒂。用改良的Wise-pattern皮肤切除和乳晕周围真皮瓣形成。结果:3个月～3年随访,使用上述方法的病人对乳房形态比较满意,乳头-乳晕感觉较好。结论:我们根据不同乳房的解剖特点和固定的参考标记,对腺体、皮肤和乳头-乳晕复合体周围真皮瓣按设计形成,然后再将这三者紧密地结合起来。与以往的手术方法相比,我们的设计方法更灵活,手术操作更个性化。远期观察,此方法可靠、效果好。

Objective In order to achieve safety of nipple, skin flap circulation and better shape, we use the central mound combined with super medial parenchyma pedicel technique. Methods From 2003 to 2007, 25 patients underwent this technique, which are mainly on the central mound and super medial-parenchyma pedicle, incorporated with the modified Wise-pattern skin resection and periareolar dermal flap. Results With a follow-up at 3 months to 3 years, the patients who underwent this technique, had a better shape of breast and preserved their sensation of nippleareola complex. Conclusion Depending on different anatomy of breast and fixed reference landmarks, we sculpted skin, breast gland and periareolar dermal flap around nipple-areola complex, and then composed them together. Compared with other techniques, our design is more flexible and manipulation is more individuation. Through longdated observation this has been considered reliable and versatile.