乳晕双环切口治疗乳腺囊性增生症伴乳房下垂

Treatment of breast cystic hyperplasia combined with mastoptosis through periareolar double-ring incision

目的探讨沿乳晕双环法在肿块型乳腺囊性增生症伴乳房下垂治疗中的应用及其意义。方法患者取直立位设计切口:先确定新乳头的位置,画出外环,再以原乳头为中心,画出直径为3.5～4.0cm的内环。之后,去除内外环之间的表皮,广泛分离乳房皮下组织,切除囊性增生病变,并将剩余乳腺组织塑形、悬吊。结果本方法治疗轻、中度乳房下垂的乳腺囊性增生症患者共45例,术后乳房外形满意,乳头、乳晕血供和感觉良好,瘢痕不明显,效果良好。结论对于有需要手术的乳腺良性病变且伴有轻、中度乳房下垂的患者,采用沿乳晕的双环切口既可切除病变,又可悬吊乳房。其操作简便,效果满意。

Objective To discuss the application and clinical significance of periareolar double-ring incision in the treatment of mass-typed breast cystic hyperplasia combined with mastoptosis. Methods The patient was in a standing position. The incision was designed in the following steps： firstly found the location of the new nipple, marked a outer circle, then draw an inner circle （3.5-4. 0 cm in diameter） with the original nipple as its center. A rim of epidermis between the outer circle and inner circle was removed, and deep subcutaneous tissue was dissected, and the lesion with cystic hyperplasia was resected. The rest of breast tissue was then re-approximated and mastopexy was performed. Results From January 2007 to June 2011, 45 patients with cystic hyperplasia combined with mild to moderate mastoptosis were operated by this method in our hospital. After surgery it produced satisfactory cosmetic breast contour, normal blood supply and sensory function of nipple-areola complex, and unnoticeable scar, Conclusions For the benign breast lesions with mild to moderate mastoptosis which require surgery, the surgeon can both excise the lesion and perform mastopexy through periareolar double-ring incision. So the operation is simple and the outcome is satisfactory.