Berge G, Pohl G, Berge B, Schmeichel A
Klinik und Poliklinik für Chirurgie, Medizinischen Akademie Magdeburg.
Zentralbl Chir. 1988;113(5):294-9.
Lactation-retaining reducing mammoplasty was performed on 144 cases for macromastia, with 54 of them being carried out by the Biesenberger/Gelbke method and 90 according to the procedure by Strömbeck. Complications due to wound healing disorders occurred only to eleven in 98 mammae (separate evaluation) treated by the Strömbeck procedure but affected every second patient operated on by the Biesenberger/Gelbke method. In 14 patients postoperative capability of lactation was found to be unambiguously correlated with unimpaired wound healing. Postoperative pathological alterations in mammary glands may cause problems in differential diagnosis. Mitigation of clinico-somatic complaints was found to be obtainable from either surgical approach, depending on wound healing. Aesthetic results are the same.
对144例巨乳症患者实施了保留哺乳功能的缩乳术，其中54例采用比森贝格尔/盖尔克法，90例按照斯特伦贝克术式进行。采用斯特伦贝克术式治疗的98例乳房（单独评估）中，仅有11例出现伤口愈合障碍并发症，但接受比森贝格尔/盖尔克法手术的患者中，每两名患者就有一人受到影响。在14例患者中，发现术后哺乳能力与伤口愈合未受损害明确相关。乳腺术后病理改变可能会在鉴别诊断中引发问题。根据伤口愈合情况，两种手术方法均可减轻临床躯体症状。美学效果相同。
