摘要
目的:介绍Benelli法乳房下垂矫正术的方法和体会。方法:按Benelli法设计乳房的内、外环切口线,切开分离乳房中下部的皮肤与乳腺组织,倒T形切开乳房下部腺体组织,形成位于乳房上方的真皮乳腺组织蒂乳头、乳晕复合瓣和乳房内、外侧乳腺组织瓣。如伴有乳房肥大,则切除部分下方乳腺组织。悬吊乳头、乳晕下方的乳腺组织于上方胸肌筋膜,交叉固定切开的内外侧乳腺组织瓣,重塑乳腺组织。荷包缝合乳房的内外环皮肤。结果:采用此法矫正乳房下垂26例,其中乳房下垂伴乳房轻中度肥大12例。无一例乳头、乳晕坏死。术后随访1~12个月,乳房外形美观,乳晕瘢痕细小,乳头、乳晕感觉良好。结论:该术式简便易行,效果良好,是矫正乳房下垂的一种有效方法,同时也适用于乳房下垂伴有轻中度乳房肥大者。
Objective To introduce the method of periareolar Benelli mastopexy. Methods Preoperative marking is performed in Benelli's method. After the subcutaneous dissection, the breast gland was incised to form an inverted T incision three flaps : a superior dermoglandular flap supporting the areola, a glandular medial flap, a glandular lateral flap. After the appropriate resection of the glandular flaps was completed, the gland was lifted by a stitch in the glandular tissue of the superior flap and fixed to the pectoralis fascia. Next, the medial and lateral flaps are folded over one to another and sutured, the gland was reconstructed. Then the skin is redraped over the breast and sutured in purse string pattern. Results Twenty-six patients were treated with Benelli mastopexy including 12 cases with mild or moderate breast hypertrophy. There was no necrosis of the nipple-areolar complex. The beasts were in good shape and contour, periareolar sear was inconspicuous, and nipple sensation was well preserved during 1 to 12 months follow-up period. Conclusion Benelli's technique, manipulable and easy, is an optimal choice for breast ptosis accompanied by mild or moderate breast hypertrophy.
出处
《东南大学学报(医学版)》
CAS
2008年第6期446-448,共3页
Journal of Southeast University(Medical Science Edition)