垂直切口乳房缩小成形术：文献回顾与51例临床经验总结

Clinical summary of vertical mammaplasty with 51 cases

目的探讨应用直线法切口行乳房成形术的临床效果。方法自2007年12月至2011年7月，我们对51例患者行直线切口法乳房成形术，根据术前乳房肥大或下垂情况设计手术切口，切除多余的表皮组织，保留乳晕区域真皮层，剥离并保留上部蒂营养乳头、乳晕，去除多余的乳房下极及基底乳腺组织，并缝合固定于第2肋水平。重新塑形乳腺组织，缝合皮肤。结果采用本法共治疗51例患者，其中巨乳症18例、乳房肥大12例、乳房下垂21例，术后乳房外形美观。对所有患者随访6个月至2．5年，平均11．5个月，无明显并发症发生，新乳房外形挺拔、自然。结论本术式对乳房中重度肥大及下垂治疗效果好，设计简单、操作方便，可作为乳房肥大及下垂矫正的术式。

Objective To introduce and evaluate an improved technique of vertical mammaplasty that was first reported by Madeleine Lejour in Brussels. Methods From 2007.12 to 2011.7, 51 cases had come to our hospital and treat with operation. Vertical mammaplasty is a technique that uses adjustable markings, an upper pedicle for the areola, and a central breast reduction with lower skin undermining. The shape of the breast was created by suturing the gland and did not rely on the skin. No scar was produced in submammary fold. Results 51cases were treated with vertical mammaplasty in our department. The shape of the new breast was satisfactory in all patients after 3 months to 3 years following-up, mean 14.5 months. Areola of breast necrosis was not found in all cases and the customer＇s satisfaction is high. Conclusion The vertical mammaplasty is an optical technique for moderate maeromastia and breast ptosis. Stable results are produced because the gland is strongly sutured. Few postoperative complications occur after experiencing several eases.