垂直短瘢痕缩乳技术在中重度下垂乳腺良恶性疾病中的应用

Application of vertical short scar breast reduction technique in moderate and severe of benign and malignant ptosis breast diseases

垂直短瘢痕技术是较常用的乳房肥大缩小技术,而随着乳房整形技术在各领域的广泛运用,该技术也用于治疗中重度下垂型乳腺良恶性疾病的治疗。广东省中医院乳腺科(以下简称"我科")采用Lejour和SPAIR技术进行手术设计,根据疾病需要切除的范围,选择保留合适的腺体蒂,并进行乳房塑性,留下环乳晕及短纵行瘢痕。我科运用该技术治疗乳腺良恶性病变15例,对30只乳房进行该手术,手术效果满意。术后仅2例患者出现"猫耳"畸形。本文重点介绍该方法在乳腺癌保乳、多发纤维腺瘤、乳腺炎3个病例中的运用,结果可见运用垂直短瘢痕技术对中重度下垂患者良恶性肿瘤疾病进行治疗,病灶切除完整,乳房外形满意,值得推广。

The vertical intra-areolar incision is a useful procedure for reduction mammaplasty. With the widespread use of breast plastic technique, this method has been used in treating benign and malignant breast disease. The typical Lejour′s design and SPAIR′s design is used in Department of Galactophore of Guangdong Hospital of Traditional Chinese Medicine（ ＂our department＂ for short）, the suitable glandular pedicle is selected according the range which needs to be excised, then elevate the nipple-alveolar complex to a proper position, only surround Areola and vertical scar are left. Fifteen patients（30 breasts） were treated using this method in our department, the results were satisfactory except＂dog′s ear＂ occurred in 2 patients. This paper mainly introduce the technique in treating 3 patients with breast cancer,multiple fibroadenoma, mastitis, separately. It is considered that vertical reduction mammaplasty is very useful in those with moderate and severe of benign and malignant ptosis breast disease, this method can not only resect the lesions completely, but also give the good breast shape, is worthy of promotion.