下蒂法联合真皮帽技术在巨乳缩小术中的应用及随访观察研究
发布时间：2018-07-24 10:17
【摘要】：目的探讨传统下蒂法巨乳缩小术成形术存在的弊端,对不足之处加以改进,形成一种具有良好乳头乳晕感觉功能、良好的血运及持久保持丰满自然的乳房外形的巨乳缩小术式,并通过随访研究评价手术效果。方法通过对2004年7月至2014年12月应用下蒂法巨乳缩小成形术的临床病历资料进行回顾性分析,总结应用该技术的临床经验,针对术后效果不佳的原因采取相应预防措施,应用下蒂法联合真皮帽技术行巨乳缩小整形。并分别采取术前术后客观数据测量、问卷调查及评分量表对两种术式术后效果进行评价。结果2004-2014年对15例乳房肥大(伴乳房下垂)患者行巨乳缩小术,其中A组运用传统下蒂法9例,B组运用下蒂法联合真皮帽技术6例。结果：(1)所有乳房肥大患者症状体征得到了明显的缓解；(2)术后乳房形态丰满自然,基本对称；(3)乳头、乳晕血供、感觉良好,未发生乳头乳晕坏死；其中A组1例术后乳头感觉功能轻度减退,3个月后逐渐恢复；瘢痕增生1例(后期抗瘢痕治疗效果改善)；2例(2侧)发生血肿,切开引流后伤口愈合。(4)A组2例患者术后1.5-2年出现乳房下极过度饱满、乳房下垂等并发症；B组无乳房下极过度饱满、乳房下垂等并发症,术后远期美学效果较理想,患者对乳房形态满意。(5)经抗瘢痕治疗半年,术后倒“T”瘢痕不甚明显。结论下蒂瓣法联合真皮悬吊乳房缩小术式为下蒂组织瓣起到了一个很好的支撑作用,克服了单纯下蒂法乳房易下垂等并发症的发生,更利于塑形出具有良好突度并且形态丰满的乳房。该法重建乳房血供可靠、重建乳房后感觉功能恢复良好,远期观察效果更为持久,是矫治乳房肥大的有效方法。
[Abstract]:Objective to investigate the disadvantages of traditional mammoplasty of mammoplasty, to improve the defects, and to form a new method of mammoplasty with good nipple areola sensation, good blood supply, and keeping a full and natural mammary shape for a long time. The effect of operation was evaluated by follow-up study. Methods through the retrospective analysis of the clinical records of the minimization of mammoplasty with tipping from July 2004 to December 2014, the clinical experience of this technique was summarized, and the corresponding preventive measures were taken in view of the causes of the poor postoperative effect. The technique of lower tipping combined with dermis cap was used to reduce and shape the large milk. Objective data before and after operation, questionnaire and scoring scale were used to evaluate the effect of the two methods. Results from 2004 to 2014, 15 cases of mammary hypertrophy (accompanied with prolapse) were treated with mammoplasty, of which 6 cases in group A were treated with traditional lower tipping method and 6 cases in group B were treated with lower tipping method combined with dermis cap technique. Results: (1) the symptoms and signs of all patients with breast hypertrophy were obviously relieved; (2) the breast shape was abundant and natural after operation, and the basic symmetry; (3) nipple, areola blood supply, feeling good, no nipple areola necrosis; In group A, the papillary sensory function decreased slightly after operation and gradually recovered after 3 months, and hematoma occurred in 2 cases (2 sides) with hypertrophic scar in 1 case (improved anti-scar effect in later stage), and in 2 cases (2 sides) in group A. After incision and drainage, the wound healed. (4) in group A, 2 cases had extremely overfull breast, and complications such as prolapse of breast occurred 1.5-2 years after operation. In group B, there were no complications such as extremely overfullness of breast and prolapse of breast, and the long-term aesthetic effect was better than that in group B. The patients were satisfied with the breast shape. (5) after half a year of anti-scar treatment, the "T" scar was not obvious after operation. Conclusion the method of lower pedicle flap combined with dermis suspending mammary shedding can support the lower pedicle tissue flap and overcome the complications such as easy prolapse of the lower pedicle breast. More conducive to shaping the shape of the breast with good protuberance and full shape. This method is an effective method for the treatment of breast hypertrophy.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R655.8
[Abstract]:Objective to investigate the disadvantages of traditional mammoplasty of mammoplasty, to improve the defects, and to form a new method of mammoplasty with good nipple areola sensation, good blood supply, and keeping a full and natural mammary shape for a long time. The effect of operation was evaluated by follow-up study. Methods through the retrospective analysis of the clinical records of the minimization of mammoplasty with tipping from July 2004 to December 2014, the clinical experience of this technique was summarized, and the corresponding preventive measures were taken in view of the causes of the poor postoperative effect. The technique of lower tipping combined with dermis cap was used to reduce and shape the large milk. Objective data before and after operation, questionnaire and scoring scale were used to evaluate the effect of the two methods. Results from 2004 to 2014, 15 cases of mammary hypertrophy (accompanied with prolapse) were treated with mammoplasty, of which 6 cases in group A were treated with traditional lower tipping method and 6 cases in group B were treated with lower tipping method combined with dermis cap technique. Results: (1) the symptoms and signs of all patients with breast hypertrophy were obviously relieved; (2) the breast shape was abundant and natural after operation, and the basic symmetry; (3) nipple, areola blood supply, feeling good, no nipple areola necrosis; In group A, the papillary sensory function decreased slightly after operation and gradually recovered after 3 months, and hematoma occurred in 2 cases (2 sides) with hypertrophic scar in 1 case (improved anti-scar effect in later stage), and in 2 cases (2 sides) in group A. After incision and drainage, the wound healed. (4) in group A, 2 cases had extremely overfull breast, and complications such as prolapse of breast occurred 1.5-2 years after operation. In group B, there were no complications such as extremely overfullness of breast and prolapse of breast, and the long-term aesthetic effect was better than that in group B. The patients were satisfied with the breast shape. (5) after half a year of anti-scar treatment, the "T" scar was not obvious after operation. Conclusion the method of lower pedicle flap combined with dermis suspending mammary shedding can support the lower pedicle tissue flap and overcome the complications such as easy prolapse of the lower pedicle breast. More conducive to shaping the shape of the breast with good protuberance and full shape. This method is an effective method for the treatment of breast hypertrophy.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R655.8
【参考文献】
相关期刊论文 前3条
1 亓发芝,顾建英,张学军,杨震,施越东,徐剑炜;垂直切口乳房缩小术[J];中国临床医学;2003年03期
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