乳腺病伴重度乳房下垂的手术治疗分析

Reduction mammoplasty for mastosis accompanied by mastoptosis

目的探讨乳腺腺体全切双环缩乳术在顽固性乳腺病伴重度乳房下垂治疗中的应用。方法应用乳腺腺体全切双环缩乳术治疗我院顽固性乳腺病伴重度乳房下垂患者60例，观察术后症状变化及并发症。结果术后所有患者临床症状均完全消失，乳头乳晕血供良好并全部成活；10例小乳晕患者因A、B环直接缝合术后乳晕增大2cm，2例患者出现散发表皮囊肿；60例患者均无脂肪液化、皮下积液等并发症出现。结论乳腺腺体全切双环缩乳术能将治疗疾病与整形美容相结合，术式简单，临床可操作性强。

Objective To explore the feasibility of reduction mammoplasty in resection of the whole glandular tissue with periareola double ring incisions in patients of intractable mastosis accompanied by severe mastoptosis. Methods The technique was used to treat 60 eases of the intractable mastosis accompanied with severe mastoptosis. Complications were observed. Results In all patients, the hyperplastic nodule and gas pains of breast tissue disappeared. The shape of breast was good. Two patients suffered from epidernal cysts. Conclusion For patients of intractable mastosis accompanied by severe mastoptosis, reduction mammoplasty can provide satisfactory therapeutic effects.