较大纤维腺瘤切除乳腺腺体瓣成形术的临床应用

Large Fibroadenoma Resection and Breast Plasty with Glandular Flap in Clinical Practice

目的介绍一种简易可靠的乳头乳晕复合体(nipple-areola complex,NAC)下方较大纤维腺瘤切除后Ⅰ期行乳腺腺体瓣支撑的乳房成形术的方法与临床应用。方法 NAC下方较大纤维腺瘤1例患者,行较大纤维瘤切除术后,对下侧乳腺腺体纵行放射状切开,使腺体瓣呈四面体形,将四面体形的腺体瓣顶端与乳晕上方对应的腺体缝合,再将下侧腺体的两个切开面予以缝合。结果 NAC位置无偏移,无塌陷,术后外观效果好。结论本术式是一种安全可行的乳房支撑成形术,适用于NAC下方较大的纤维腺瘤切除后的乳房成形。

Objective A large breast fibroadenoma beneath nipple-areola complex（NAC） frequently causes NAC collapse and a bad cosmetic result.In order to solve this dilemma,a simple and feasible surgical procedure is explored in this study.Besides,literatures about the basic research of breast blood supply are reviewed.Methods The surgical experience in a patient was summarized by describing surgery procedure including the design of a glandular flap and glandular flap suturation skill.The undersurface of the mammary glands was cut by two incisions longitudinally.Then the top of the glandular flap was sewed with the mammary gland at the up side of the areola papillaris.The sagittal planes of the glandular flap were sewed up together.Results Breast plasty with glandular flap obtained a good cosmetic result,and the NAC was neither collapse nor excursion.Conclusion This surgery procedure is safe and feasible with an indication such as the resection of a large fibroadenoma below NAC.