乳房下垂采用垂直切口法乳房悬吊术
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摘要
目的:探讨垂直切口法乳房悬吊术的临床疗效。方法:对于中、重度乳房下垂采用垂直切口法(Lejour法)实施乳房悬吊术。结果:对2011年5月至2015年12月收治的垂直切口法乳房悬吊25例患者,随访半年至4年,2例隆乳者取出假体后悬吊,乳房变小,下垂矫正;其余23例患者悬吊后下垂矫正,形态美观。5例原有下皱襞处湿疹消退。16例肩背部疼痛者15例症状消失,1例症状减轻。25例患者早期下皱襞以下部分皮瓣不平整,随后逐渐改善,1年后基本平整,1例不平整患者于术后11个月行修复后改善。结论:垂直切口法乳房悬吊术是矫正乳房下垂的较好手术方法。
0bjective To investigate the c Iinica I effect of vertical mammaplasty for correction of moderate to severe breast ptosis. Methods The authors adopted the vertical mammaplasty(Lejour technique)for correction of breast ptosis. Resu Its 25 cases were treated with vertical mammaplasty in our department from May 2011 to December 2015, the shape of the new breast in all patients was tall and natural after 6-48 months following-up. Inframammary fold eczema in 5 cases subsided. Back and shoulder pain in 16 cases were gone in 15 cases and relieved in 1 case. The flap of inframammary fold was not smooth at early stage, relieved gradually and smooth after 1 year. Conclusion The vertical mammaplasty is a relatively good surgical technique for correction of breast ptosis.
0bjective To investigate the c Iinica I effect of vertical mammaplasty for correction of moderate to severe breast ptosis. Methods The authors adopted the vertical mammaplasty(Lejour technique)for correction of breast ptosis. Resu Its 25 cases were treated with vertical mammaplasty in our department from May 2011 to December 2015, the shape of the new breast in all patients was tall and natural after 6-48 months following-up. Inframammary fold eczema in 5 cases subsided. Back and shoulder pain in 16 cases were gone in 15 cases and relieved in 1 case. The flap of inframammary fold was not smooth at early stage, relieved gradually and smooth after 1 year. Conclusion The vertical mammaplasty is a relatively good surgical technique for correction of breast ptosis.
引文
[1]刘勇,岑瑛,陈俊杰,等.改良乳晕双环法巨乳缩小术的临床体会[J].中国美容整形外科杂志,2009,20(4):199-201.
[2]陈志鹏,丁祖烈,陈滔,等.改良双环法巨乳缩小术[J].中国美容医学,2013,22(2):244-246.
[3]高俊明,冷奎仿,盛飞,等.包膜外聚丙烯酰胺水凝胶注射隆乳材料取出同期双平面假体隆乳术[J].中国美容医学,2010,19(11):1588-1590.
[4]张传斗,曲梅,曲晓雪.单环水平双向腺体蒂法乳房缩小术[J].中国美容医学,2012,21(2):200-202.
[5]杨杰,孙家明,郭科,等.改良双环法中心蒂乳房缩小成形术[J].中华医学美学美容杂志,2012,18(1):12-15.
[6]甘学文,石志艳,朱赛玲,等.双环法结合双”V”形乳腺切除法在乳房肥大整形术中的应用[J].中国美容医学,2014,23(22):1861-1864.
[7]罗盛康,冯传波,刘晓军,等.直线疤痕乳房缩小悬吊术(Lejour)临床应用体会[J].中国医学工程,2005,13(1):98-99.
[8]罗盛康,冯传波,刘晓军,等.直接法乳房成形术的临床应用[J].中华医学美学美容杂志,2005,11(6):329-331.
[9]Hofmann AK,Wuestner-Hofmann MC,Bassetto F,et al.Breast reduction:modified”Lejour technique”in 500 large breasts.[J].Plast Reconstr Surg,2007,120(5):1095-1104.
[10]Pickford MA,Boorman JG.Early experience with the Lejour vertical scar reduction mammaplasty technique[J].Br J Plast Srug,1993,46:516-522.
[11]陆新,周蓉蓉,赵启明.双环加垂直切口的乳房上提缩小术[J].中国美容医学,2012,21(10):1705-1707.
[12]余萌,许辉,余明星,等.直线LEJOUR法乳房缩小术的临床应用[J].中国美容医学,2014,23(14):1151-1153.
[13]吴小蔚,刘杨,董玉林.携带Wuringer水平中隔的内上方真皮腺体蒂乳房缩小成形术[J].中华医学美学美容杂志,2011,17(2):84-87.
[2]陈志鹏,丁祖烈,陈滔,等.改良双环法巨乳缩小术[J].中国美容医学,2013,22(2):244-246.
[3]高俊明,冷奎仿,盛飞,等.包膜外聚丙烯酰胺水凝胶注射隆乳材料取出同期双平面假体隆乳术[J].中国美容医学,2010,19(11):1588-1590.
[4]张传斗,曲梅,曲晓雪.单环水平双向腺体蒂法乳房缩小术[J].中国美容医学,2012,21(2):200-202.
[5]杨杰,孙家明,郭科,等.改良双环法中心蒂乳房缩小成形术[J].中华医学美学美容杂志,2012,18(1):12-15.
[6]甘学文,石志艳,朱赛玲,等.双环法结合双”V”形乳腺切除法在乳房肥大整形术中的应用[J].中国美容医学,2014,23(22):1861-1864.
[7]罗盛康,冯传波,刘晓军,等.直线疤痕乳房缩小悬吊术(Lejour)临床应用体会[J].中国医学工程,2005,13(1):98-99.
[8]罗盛康,冯传波,刘晓军,等.直接法乳房成形术的临床应用[J].中华医学美学美容杂志,2005,11(6):329-331.
[9]Hofmann AK,Wuestner-Hofmann MC,Bassetto F,et al.Breast reduction:modified”Lejour technique”in 500 large breasts.[J].Plast Reconstr Surg,2007,120(5):1095-1104.
[10]Pickford MA,Boorman JG.Early experience with the Lejour vertical scar reduction mammaplasty technique[J].Br J Plast Srug,1993,46:516-522.
[11]陆新,周蓉蓉,赵启明.双环加垂直切口的乳房上提缩小术[J].中国美容医学,2012,21(10):1705-1707.
[12]余萌,许辉,余明星,等.直线LEJOUR法乳房缩小术的临床应用[J].中国美容医学,2014,23(14):1151-1153.
[13]吴小蔚,刘杨,董玉林.携带Wuringer水平中隔的内上方真皮腺体蒂乳房缩小成形术[J].中华医学美学美容杂志,2011,17(2):84-87.