摘要
目的探讨改良垂直瘢痕法乳房成形术(Hall-Findlay法)在乳房下垂矫正中的应用。方法2016年5月至2021年5月,南方医科大学南方医院整形科共完成乳房下垂矫正术60例,年龄21~49岁,平均年龄34.05岁,其中矫正下垂同时因乳房肥大行乳房缩小者34例。术前详细测量、设计切口后,剥离乳腺组织,形成内上蒂或上蒂;根据乳房体积大小和患者意愿,分为A组(26例):单纯下垂矫正,不需要去除乳腺组织;B组(34例):矫正下垂的同时需要去除部分乳腺组织。分别采用不同的蒂部设计和不同乳头乳晕复合组织瓣的转移方式进行矫正修复,通过腺体组织的折叠悬吊、移位固定和皮肤包被的匹配完成乳房的整体塑形。结果56例患者切口均I期愈合,25例对术后乳房外形非常满意,30例满意,5例可接受。其中乳头向上移位最大距离为14cm。并发症情况:切口延期愈合3例,术后迟发血肿1例,血清肿2例,行二期修整者3例。远期随访乳房外形良好,满意度95%。结论改良垂直瘢痕法乳房下垂矫正术对下垂矫正充分,术中腺体可灵活处理,中、远期效果较好,乳房外形挺拔,固定持久,值得临床推广应用。
Objective To explore the application of modified vertical scar mammoplasty(Hall-Findlay method)in the correction of breast ptosis.Methods From May 2016 to May 2021,the Department of Plastic Surgery,Nanfang Hospital,Southern Medical University completed 60 cases of breast sagging correction,aged 21-49 years old,with an average age of 34.05 years old.Among them,34 cases were corrected for sagging and breast reduction due to breast hypertrophy.After the detailed measurement and design of the incision before the operation,the breast tissue was stripped to form the inner upper pedicle or upper pedicle;according to the breast size and the patient's wishes,they were divided into group A(26 cases):merely ptosis correction,no need to remove breast tissue;group B(34 cases):It is necessary to remove part of the breast tissue while correcting the sagging.Different pedicle designs and different nippleareola composite tissue flap transfer methods are used for correction and repair.The overall shape of the breast is completed by the matching of glandular tissue folding and suspension,displacement and fixation,and skin coating.Results The incisions of 56 patients healed by first intention,25 patients were very satisfied with the postoperative breast shape,30 patients were satisfied,and 5 patients were acceptable.The maximum distance of the nipple shifting upward is 14cm.Complications:3 cases of delayed incision healing,1 case of delayed postoperative hematoma,2 cases of seroma,and 3 cases of secondary trimming.In the long-term follow-up,the breast appearance was good,and the satisfaction was 95%.Conclusion The modified vertical scar method breast ptosis correction surgery is sufficient for ptosis correction,and the glands during the operation.
作者
姚尧
冯传波
YAO Yao;FENG Chuan-bo(Department of Plastic Surgery,Nanfang Hospital,Southern Medical University,Guangdong Province,510515,China)
出处
《中国医疗美容》
2021年第7期7-10,共4页
China Medical Cosmetology
