复合组织下蒂法在乳房缩小成形术中的应用

摘要

Objective To analysis the speciality and merit of the compounded inferior pedicle technique according to clinical data of reduction mammaplsty. Methods A retrospective study was undertaken of 34 reduction mammaplasties in 18 patients with breast hypertrophy during January 2007 to December 2013 and who had undergone compounded inferior pedicle technique for reduction mammaplsty.To compared advantage and disadvantage of the compounded pedicle techique with traditonal technique, the change of shape,skin sensation,and scar after surgery were obsvered. Results Good shape of breast was obtained.Therity- three breasts were good,one breast's wound fat colliquation.The successful rate was 100%,and symptoms were relieved significantly. Conclusion The compounded pedicle techique is a alternative technique for the patient who plan to reduction mammaplaty.%目的：探讨复合组织下蒂法在肥大乳房缩小整形术中的应用。方法：回顾性分析我科2007年1月-2013年12月，应用复合组织下蒂法矫治乳房肥大症患者18例，34侧乳房。术后根据术前伴随症状与乳房外形评判术后效果。论述本术式的基本方法与探讨操作要点。通过对患者术后乳房外形、感觉、瘢痕、不适症状的缓解及术后并发症等方面的分析，总结复合组织下蒂法的特点及优缺点。结果：本组18例患者，1侧术后切口发生局部脂肪液化，1例术后乳房仍有轻度下垂2例术后2个月出现乳晕扩大，余均效果满意。术前各种不适得到明显改善。乳房疼痛改善率为83.3%。肩、颈、项、背痛改善为100%，睡眠明显改善100%。结论：复合组织下蒂法是治疗乳房肥大症较理想的治疗方法。