垂直短瘢痕缩乳技术在中重度下垂乳腺良恶性疾病中的应用

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摘要垂直短瘢痕技术是较常用的乳房肥大缩小技术，而随着乳房整形技术在各领域的广泛运用，该技术也用于治疗中重度下垂型乳腺良恶性疾病的治疗。广东省中医院乳腺科（以下简称“我科”）采用Lejour和SPAIR技术进行手术设计，根据疾病需要切除的范围，选择保留合适的腺体蒂，并进行乳房塑性，留下环乳晕及短纵行瘢痕。我科运用该技术治疗乳腺良恶性病变15例，对30只乳房进行该手术，手术效果满意。术后仅2例患者出现“猫耳”畸形。本文重点介绍该方法在乳腺癌保乳、多发纤维腺瘤、乳腺炎3个病例中的运用，结果可见运用垂直短瘢痕技术对中重度下垂患者良恶性肿瘤疾病进行治疗，病灶切除完整，乳房外形满意，值得推广。

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	陈莹1 谢宛君2 谢枫枫1 刘丹1 钟少文1 陈前军1▲

关键词 ：缩乳术, 垂直短瘢痕技术, 乳腺良恶性疾病

Abstract：The vertical intra-areolar incision is a useful procedure for reduction mammaplasty. With the widespread use of breast plastic technique, this method has been used in treating benign and malignant breast disease. The typical Lejour′s design and SPAIR′s design is used in Department of Galactophore of Guangdong Hospital of Traditional Chinese Medicine ("our department" for short), the suitable glandular pedicle is selected according the range which needs to be excised, then elevate the nipple-alveolar complex to a proper position, only surround Areola and vertical scar are left. Fifteen patients (30 breasts) were treated using this method in our department, the results were satisfactory except “dog′s ear” occurred in 2 patients. This paper mainly introduce the technique in treating 3 patients with breast cancer, multiple fibroadenoma, mastitis, separately. It is considered that vertical reduction mammaplasty is very useful in those with moderate and severe of benign and malignant ptosis breast disease, this method can not only resect the lesions completely, but also give the good breast shape, is worthy of promotion.

Key words： Breast reduction Vertical mammaplasty Benign and malignant breast disease

基金资助:广东省医学科研基金立项项目（B2017028）；
广东省教科文卫工会“广东高校女性发展研究专项课题”（2018jkwwgh104）。

通讯作者: ▲通讯作者

引用本文:

陈莹1 谢宛君2 谢枫枫1 刘丹1 钟少文1 陈前军1▲. 垂直短瘢痕缩乳技术在中重度下垂乳腺良恶性疾病中的应用[J]. 中国医药导报, 2018, 15(23): 146-149,163.
CHEN Ying1 XIE Wanjun2 XIE Fengfeng1 LIU Dan1 ZHONG Shaowen1 CHEN Qianjun1▲. Application of vertical short scar breast reduction technique in moderate and severe of benign and malignant ptosis breast diseases. 中国医药导报, 2018, 15(23): 146-149,163.

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http://www.yiyaodaobao.com.cn/CN/ 或 http://www.yiyaodaobao.com.cn/CN/Y2018/V15/I23/146

[1] Makissock PK. Reduction mammaplasty with a vertical dermal flap [J]. Plast Reconstr Surg，1972，49（3）：245-252.
[2] Strombeck JO. Mammalasty：report of a new technique based on the two-pedicle procedure [J]. Br J Plast Surg，1960， 13：79-90
[3] Hester TR，Bostwick J，Miller L. Breast reduction utilizing the maximally vascularized centeal breast pedicle [J]. Plast Reconstr Surg，1985，76（6）：890-900.
[4] Benelli L. A new periareolar mammaplasty：the"round block" technique [J]. Aesth Plast Surg，1990，14（2）：93-100.
[5] Lejour M. Vertical mammaplasty and liposuction of the breast [J]. Plast Reconstr Surg，1990，94（1）：100-114.
[6] Hofmann AK，Wuestner-Hofmann MC，Bassetto F. Breast reduction：modified”Lejour technique”in 500 large breasts [J]. Plast Reconstr Surg，2007，120（5）：1095-1104.
[7] 亓发芝，顾建英，张学军.垂直切口乳房缩小术[J].中华整形外科杂志，2004，20（5）：325-327.
[8] Kerrigan CL，Collins ED，Striplin D. The health burden of breast hypertrophy [J]. Plast Reconstr Surg，2001，108（6）：1591-1599.
[9] Blomqvist L，Eriksson A，Brandberg Y. Reduction mam-maplasty provides long-tern improvement in health status and quality of life [J]. Plast Reconstr Surg，2000，106（5）：991-997.
[10] Audretsch W，Rezai M，Schmitt G，et al. Oncoplastic surgery in breast conserving therapy and flapsupported operability [C]. 1993.
[11] Crown A，Handy N，Rocha FG. Oncoplastic reduction ma-mmaplasty，an effective and safe method of breast conservation [J]. Am J Surg，2018，215（5）：910-915.
[12] 刘兰张，朝锋，张郁.不同手术方案治疗乳腺多发纤维腺瘤的临床疗效[J].临床医学研究与实践，2018，9（3），70-72.
[13] Ng WK，Mrad MA，Brown MH. Juvenile fibroadenoma of the breast：Treatment and literature review [J].Can J Plast Surg，2011，19（3）：105.
[14] Clough KB，Soussaline M，Campana F. Combined with irradiation：conservative treatment of breast cancer localized in the lower quadrant [J]. Ann Chic Plast Esthet，1990，35（2）：117-122.
[15] 王欣，杨剑敏，于海静.肉芽肿性乳腺炎的诊断与处理原则[J].中国实用外科杂志，2016，36（7）：734-738.
[16] 王蕾，刘晓雁.肉芽肿性小叶性乳腺炎中西医研究进展[J].中华乳腺病杂志，2017，11（5）：305-309.
[17] Li J. Diagnosis and Treatment of 75 Patients with Idiopathic Lobular Granulomatous Mastitis [J]. J Invest Surg.2018，30：1-7.
[18] 张传斗，曲梅，曲晓雪.单环水平双向腺体蒂法乳房缩小术[J].中国美容医学，2012，21（2）：200-202.
[19] 杨杰，孙家明，郭科，等.改良双环法中心蒂乳房缩小成形术[J].中华医学美学美容杂志，2012，18（1）：12-15.
[20] 甘学文，石志艳，朱赛玲，等.双环法结合双”V”形乳腺切除法在乳房肥大整形术中的应用[J].中国美容医学，2014，23（22）：1861-1864.
[21] Kruit AS，van Doesburg MHM，Ruhé PQ，et al. Mammaplasty in patients with large areola：Reducing the nipple-areola complex using intra-areolar incisions [J]. J Plast Reconstr Aesthet Surg，2018，71（2）：267-269.
[22] Copeland-Halperin LR，Smith L，Copeland M. Re-evaluating the Lejour Technique for Breast Reduction in Patients with Macromastia [J]. Plast Reconstr Surg Glob Open，2018，6（5）：e1783.
[23] Temel M，Karaka■ AO，Dokuyucu R，et al. The dermal internal brassiere flap，a new modification of inferior pedicle breast reduction technic [J]. Aesthetic Plast Surg，2015，39（3）：350-358.
[24] von Sperling ML，H■imyr H，Finnerup K，et al. Chronic postoperative pain and sensory changes following reduction mammaplasty [J]. Scand J Pain，2011，2（2）：57-61.
[25] Ayoade F，Mada PK，Alam M. Fat necrosis and polymicrobial wound infection caused partly by Raoultella ornithinolytica after reduction mammoplasty [J]. BMJ Case Rep，2018. pii：bcr-2018-224234.