垂直短瘢痕乳房横隔血管蒂巨乳缩小上提整形术的临床应用

Clinical application of reduction and lifting mammaplasty with vertical short scar and breast lateral fibrous septum vascular pedicle

目的探讨垂直短瘢痕乳房横隔血管蒂进行巨乳缩小上提整形术的方法，以提高临床治疗效果，降低并发症。方法对64例患者进行乳房缩小上提整形术时，仅做乳晕周围和乳房下极皮肤垂直切口，利用乳房横隔血管蒂及皮肤内上蒂保证乳头、乳晕血供，对乳房中下部皮肤、腺体进行切除悬吊、上提、固定塑形。结果术后64例切口皆一期愈合，无血肿、无感染、无皮肤及乳头乳晕血运障碍坏死等并发症，乳房外形挺拔、丰满、对称、切口瘢痕短小。结论垂直短瘢痕乳房横隔血管蒂巨乳缩小上提整形术治疗乳房肥大下垂效果确切，形态满意，并发症少，手术设计与操作简便，效果好，安全实用。

Objective To explore the surgical procedures of reduction and lifting mammaplasty with the short vertical scar and breast lateral fibrous septum vascular pedicle to improve the clinical effect and reduce the complications. Methods Sixty-four patients underwent reduction and lifting mammaplasty： a incision around the areola and under the breast, using the breast lateral fibrous septurn vascular pedicle and medial superior dermal pedicle to ensure the blood supply of the nipple. The skin and glands of the lower part of the breast were resected with suspension; upper part was lifting, with skin shaping and sutured. Results There were no postoperative complications such as hematoma, infection, skin and nipple areolar necrosis. The breasts were tall, plump and symmetry with little scar. Conclusions The breast reduction and lifting mammaplasty with breast lateral fibrous septum vascular pedicle and verical incision is effective in the treatment of macromastia and ptosis breast; breast form is satisfied and the complication is less; the operation is simple, safe, effective and worth promoting.