CAJ | 학술논문

目的探讨应用保留Wǘringer水平横隔的中心蒂法乳房缩小成形术治疗女性乳房肥大的方法及疗效.方法 2009年3月至2011年9月,对21例轻、中度女性乳房肥大患者行中心蒂法乳房缩小成形术时,采用去除Wǘringer水平横隔头侧方向、保留横隔尾侧方向乳腺组织的方式.结果 21例患者单侧腺体组织切除量为(327.8±148.6)g,锁乳距由术前的24.0～28.0 cm(25.5 cm)缩小为术后的18.0 ～22.0 cm(20.0 cm),胸骨上凹至乳头的距离由术前的23.5～28.5cm( 26.0 cm)缩小为术后的19.5 ～22.5 cm(21.0 cm).上提乳头4.0～ 10.0 cm,平均6.5 cm.术后无一例血肿,无乳头、乳晕坏死的现象发生.1例患者切口小范围裂开,经换药后自愈.17例获术后3个月至2年的随访,乳头、乳晕感觉良好,乳房外形满意.结论保留Wǘringer水平横隔的中心蒂法乳房缩小成形术,具有更好的解剖学基础,可以更加有效地保证乳头、乳晕复合体的血运和感觉,减少血肿或血清肿的发生率,术后远期效果更为稳定,适用于部分轻、中度乳房肥大的患者.
목적 탐토응용보류Wǘringer수평횡격적중심체법유방축소성형술치료녀성유방비대적방법급료효.방법 2009년3월지2011년9월,대21례경、중도녀성유방비대환자행중심체법유방축소성형술시,채용거제Wǘringer수평횡격두측방향、보류횡격미측방향유선조직적방식.결과 21례환자단측선체조직절제량위(327.8±148.6)g,쇄유거유술전적24.0～28.0 cm(25.5 cm)축소위술후적18.0 ～22.0 cm(20.0 cm),흉골상요지유두적거리유술전적23.5～28.5cm( 26.0 cm)축소위술후적19.5 ～22.5 cm(21.0 cm).상제유두4.0～ 10.0 cm,평균6.5 cm.술후무일례혈종,무유두、유훈배사적현상발생.1례환자절구소범위렬개,경환약후자유.17례획술후3개월지2년적수방,유두、유훈감각량호,유방외형만의.결론 보류Wǘringer수평횡격적중심체법유방축소성형술,구유경호적해부학기출,가이경가유효지보증유두、유훈복합체적혈운화감각,감소혈종혹혈청종적발생솔,술후원기효과경위은정,괄용우부분경、중도유방비대적환자.
Objective To investigate the method and efficacy of reduction mammaplasty with central gland pedicle based on Würinger' s horizontal septum in the treatment of female breast hypertrophy.Methods From Mar.2009 to Sept.2011,a series of 21 consecutive patients with mild and moderate hypermastia underwent reduction mammaplasty with central gland pedicle.Only the mammary gland located at cranial portion of septum was resected and the mammary gland located at caudal portion of septum was preserved.Results In our series,the mean resection weight per breast was (327.8 ± 148.6 ) g,the mean nipple-to clavicle midpoint was 20.0 cm ( range,18.0-22.0 cm ) and the mean nipple-to-sternalnotch distance was 21.0 cm ( range,19.5-22.5 cm) postoperatively.Nipple was moved upward 6.5 cm on average (range,4.0-10.0 cm).There was no hematoma and nipple-areolar complex (NAC) necrosis.Minimal wound dehiscence occurred in one case and healed by dressing change.17 cases were followed up for 3 months to 2 years.Satisfactory breast shape was achieved with good NAC sensibility.Conclusions The reduction mammaplasty with central gland pedicle based on Wǘringer's horizontal septum is a safe and reliable technique for mild and moderate hypermastia.Satisfactory breast contour,as well as NAC viability and sensibility,could be achieved with lower occurrence of hematoma or seroma.