伴有乳房良性肿物的乳房肥大下垂缩小术

Reduction mammaplasty for patients with breast ptosis and hypertrophy

目的 介绍伴有乳房良性肿物的乳房肥大下垂缩小术的方法和效果。方法 1990年 12月至 2 0 0 1年 11月 ,共收治乳房肥大下垂伴乳房良性肿物的患者 15例 2 9侧。其中 ,伴有错构瘤 1例、腺纤维瘤 1例、小叶增生伴乳腺纤维瘤 2例、轻度乳头状瘤 2例、导管扩张伴分泌物潴留 2例、小叶及腺管增生 7例。行垂直下蒂真皮瓣缩乳术 9例 ,垂直双蒂真皮瓣缩乳术 6例。结果 15例 2 9侧乳房 ,成功率89 .6 % ,3侧乳头坏死。手术后因乳房肥大下垂带来的合并症明显好转。结论 乳房缩小整形手术是治疗乳房肥大下垂同时伴有乳房良性肿物的首选方法 ,可以达到治疗和美容的双重效果。

Objective To introduce the methods and cosmetic effect of reduction mammaplasty in patients with benign diseases of breast. Methods From December 1990 to November 2001, reduction mammaplasty was performed in 15 patients with breast hypertrophy, ptosis and benign diseases, including hamartoma (1 case), adenofibroma (1 case), lobular hyperplasia with adenofibroma (2 cases), mild papillomatosis (2 cases), ductal ectasia with secretion depot (2 cases), and lobular and ductal epithelial hyperplasia (7 cases). Nine patients received reduction mammaplasty using an inferior pyramidal pedicle technique, and six patients received Mckissock vertical bipedicle technique. Results The successful rate was high (89.6 %), except that three mammary glands developed necrosis of whole areola in Mckissock procedure group. Complications caused by breast hypertrophy and benign diseases were improved apparently. Conclusion Reduction mammaplasty is the best option for the treatment of breast hypertrophy and ptosis with benign diseases.