改良垂直下蒂法在巨乳缩小术中的应用效果分析(1)
[摘要]目的：探讨改良垂直下蒂法在巨乳缩小术中的应用效果。方法：选择2017年3月-2019年10月笔者医院治疗的70例巨乳患者作为研究对象，随机分为对照组(n=35)和观察组(n=35)。对照组采用双环法手术治疗，观察组采用改良垂直下蒂法手术治疗，比较两组患者的手术效果。结果：观察组术后乳晕直径及温哥华瘢痕评分均低于对照组，乳房形态评分高于对照组，差异有统计学意义(P<0.05);观察组术后生理功能、社会功能、生理职能、精神健康、情感职能、活力、总体健康各项指标评分均高于对照组，且观察组术后并发症发生率明显低于对照组，差异均有统计学意义(P<0.05)。结论：巨乳患者采用改良垂直下蒂巨乳缩小术治疗，有利于乳房外观形态及生理功能的恢复，其术后并发症较低，提升了患者术后的生活质量，值得推广应用。
[关键词]改良垂直下蒂法;双环法;巨乳缩小术;瘢痕;生活质量
[中图分类号]R622 [文獻标志码]A [文章编号]1008-6455(2020)05-0076-03
Abstract： Objective To explore the effect of improved vertical lower pedicle method in the reduction mammaplasty. Methods A total of 70 patients with breast milk treated in our hospital from March 2017 to October 2019 were selected as subjects and randomly divided into the control group (n=35) and the observation group (n=35). The control group was treated with double ring surgery， and the observation group was treated with modified vertical lower pedicle surgery. The surgical effects of the two groups were compared. Results The diameter of the areola and the Vancouver scar score in the observation group were lower than those in the control group， the breast morphology score in the observation group were higher than that in the control group， the differences were statistically significant (P<0.05). The scores of physiological function， social function， physiological function， mental health， emotional function， vitality and overall health in the observation group were higher than thatin the control group (P<0.05). The incidence of postoperative complications in the observation group was significantly lower than in the control group (P<0.05). Conclusion The use of modified vertical lower pedicle bust reduction for patients with large breasts is beneficial to the restoration of breast appearance and physiological functions. The postoperative complications are low， which improves the quality of life of patients after surgery and is worthy of popularization and application.
Key words： improved vertical lower pedicle method; double ring method; reduction mammaplasty; scar; quality of life
巨乳症通常是指女性乳房发育过度，含腺体及脂肪结缔组织生长过度，其乳房体积远远大于正常女性乳房体积，导致患者出现胸部压迫感、肩部酸痛及乳房下皱襞皮肤糜烂等现象，影响患者的自我形象及身心健康[1-2]。巨乳缩小术是其唯一有效治疗手段，但不同的手术方式其治疗效果有较大差异，本研究旨在探讨改良垂直下蒂法在巨乳缩小术中的应用效果，其研究结果如下。
1 资料和方法
1.1 临床资料：选择2017年3月-2019年10月笔者医院接受巨乳缩小术患者70例作为研究对象，随机分为对照组和观察组。对照组35例，年龄27～46岁，平均(39.33±2.17)岁;乳房重量400～750g，平均(570.33±10.23)g;其中生育哺乳史20例，未生育者15例;轻度下垂7例，中度下垂19例，重度下垂9例。观察组35例，年龄26～47岁，平均(39.68±2.25)岁;乳房重量400～760g，平均(572.36±9.64)g;其中生育哺乳史19例，未生育者16例;轻度下垂8例，中度下垂18例，重度下垂9例。两组患者一般资料比较差异无统计学意义(P>0.05)。, http://www.100md.com(余成坤 严飞)
[关键词]改良垂直下蒂法;双环法;巨乳缩小术;瘢痕;生活质量
[中图分类号]R622 [文獻标志码]A [文章编号]1008-6455(2020)05-0076-03
Abstract： Objective To explore the effect of improved vertical lower pedicle method in the reduction mammaplasty. Methods A total of 70 patients with breast milk treated in our hospital from March 2017 to October 2019 were selected as subjects and randomly divided into the control group (n=35) and the observation group (n=35). The control group was treated with double ring surgery， and the observation group was treated with modified vertical lower pedicle surgery. The surgical effects of the two groups were compared. Results The diameter of the areola and the Vancouver scar score in the observation group were lower than those in the control group， the breast morphology score in the observation group were higher than that in the control group， the differences were statistically significant (P<0.05). The scores of physiological function， social function， physiological function， mental health， emotional function， vitality and overall health in the observation group were higher than thatin the control group (P<0.05). The incidence of postoperative complications in the observation group was significantly lower than in the control group (P<0.05). Conclusion The use of modified vertical lower pedicle bust reduction for patients with large breasts is beneficial to the restoration of breast appearance and physiological functions. The postoperative complications are low， which improves the quality of life of patients after surgery and is worthy of popularization and application.
Key words： improved vertical lower pedicle method; double ring method; reduction mammaplasty; scar; quality of life
巨乳症通常是指女性乳房发育过度，含腺体及脂肪结缔组织生长过度，其乳房体积远远大于正常女性乳房体积，导致患者出现胸部压迫感、肩部酸痛及乳房下皱襞皮肤糜烂等现象，影响患者的自我形象及身心健康[1-2]。巨乳缩小术是其唯一有效治疗手段，但不同的手术方式其治疗效果有较大差异，本研究旨在探讨改良垂直下蒂法在巨乳缩小术中的应用效果，其研究结果如下。
1 资料和方法
1.1 临床资料：选择2017年3月-2019年10月笔者医院接受巨乳缩小术患者70例作为研究对象，随机分为对照组和观察组。对照组35例，年龄27～46岁，平均(39.33±2.17)岁;乳房重量400～750g，平均(570.33±10.23)g;其中生育哺乳史20例，未生育者15例;轻度下垂7例，中度下垂19例，重度下垂9例。观察组35例，年龄26～47岁，平均(39.68±2.25)岁;乳房重量400～760g，平均(572.36±9.64)g;其中生育哺乳史19例，未生育者16例;轻度下垂8例，中度下垂18例，重度下垂9例。两组患者一般资料比较差异无统计学意义(P>0.05)。, http://www.100md.com(余成坤 严飞)