CAJ | 학술논문

目的探讨应用胸大肌后放置假体,并于胸大肌中央部位切开,形成假体表面胸肌-腺体-胸肌三平面覆盖的方法,矫正乳房萎缩伴下垂的效果.方法选择环乳晕切口,进行乳房上象限腺体表面分离及真皮帽折叠固定.再由乳腺外下象限边缘进入乳房后间隙,于新的乳头、乳晕水平将胸大肌横行及纵行部分离断,将假体植入胸大肌后.于术前及术后对乳房各解剖径线进行标准化测量.结果 2011年6 ～12月,应用上述方法行乳房上提联合隆乳手术14例,患者术后乳房上极形态、乳房凸度及乳头、乳晕位置均得到了明显改善,且无严重并发症发生.术后随访6～12个月,乳房形态良好.结论三平面法能够在不离断胸大肌起点及止点的情况下,保证假体在乳头、乳晕水平良好的凸度,避免了乳房下垂联合隆乳手术时易发生的双泡畸形或阶梯现象,且损伤较小.
목적 탐토응용흉대기후방치가체,병우흉대기중앙부위절개,형성가체표면흉기-선체-흉기삼평면복개적방법,교정유방위축반하수적효과.방법 선택배유훈절구,진행유방상상한선체표면분리급진피모절첩고정.재유유선외하상한변연진입유방후간극,우신적유두、유훈수평장흉대기횡행급종행부분리단,장가체식입흉대기후.우술전급술후대유방각해부경선진행표준화측량.결과 2011년6 ～12월,응용상술방법행유방상제연합륭유수술14례,환자술후유방상겁형태、유방철도급유두、유훈위치균득도료명현개선,차무엄중병발증발생.술후수방6～12개월,유방형태량호.결론 삼평면법능구재불리단흉대기기점급지점적정황하,보증가체재유두、유훈수평량호적철도,피면료유방하수연합륭유수술시역발생적쌍포기형혹계제현상,차손상교소.
Objective To investigate the application of combining mastopexy and triple-plane breast augmentation in correction of breast ptosis and atrophy.Methods Peri-areolar incision was performed to finish the fascia and dermal suspension to correct the breast ptosis.The implant was inserted under the pectoralis major muscle through lateral lower border of the gland and a "X" shape full thickness incision was made on the pectoralis major muscle according to the new position of nipple-areolar complex.Results 14 patients received combined mastopexy and triple-plane breast augmentation to correct breast atrophy and mastopexy simultaneously.All the patients were regularly followed for 6-12 months.No patients suffered severe complication and the results were satisfied.Conclusions "Triple-plane" breast augmentation could be safely performed with peri-areolar mastopexy with minor injury.The technique could help to ensure the balance between the gland,nipple-areolar complex and the implant.