Udesen A, Lundhus E, Geertsen U A
Organkirurgisk afdeling, Vejle Sygehus.
Ugeskr Laeger. 1994 Dec 19;156(51):7680-4.
A questionnaire investigation of 299 women treated operatively over a 12-year period for breast hypertrophy in four general surgical units is presented. Different surgical techniques were used, and in one of the departments one plastic surgeon performed the operations. The results of the different techniques were compared. All techniques gave good physical relief. Pers & Bretteville-Jensen's technique proved to be better in maintaining the sensitivity of the nipple, but a higher incidence of complications occurred. With McKissock's, Strömbeck's and Bames-Ragnell's techniques all scars end up looking like an anchor. These methods are preferred by most women, in spite of a higher risk of losing the sensitivity of the nipple. Significantly more women who had undergone reduction mammaplasty with the Pers & Bretteville-Jensen technique, which ends up with a horizontal scar across the breast, regretted the operation. The cosmetic results were very important for the patients, and a more uniform treatment of the patients might be preferred.
本文介绍了对四个普通外科科室在12年期间接受手术治疗的299例乳房肥大女性进行的问卷调查。采用了不同的手术技术，其中一个科室由一位整形外科医生实施手术。对不同技术的结果进行了比较。所有技术都能有效缓解身体症状。Pers&Bretteville-Jensen技术在保持乳头敏感度方面表现更好，但并发症发生率较高。采用McKissock、Strömbeck和Bames-Ragnell技术，所有疤痕最终都呈锚状。尽管乳头敏感度丧失风险较高，但大多数女性更喜欢这些方法。接受Pers&Bretteville-Jensen技术进行乳房缩小术（最终在乳房上留下水平疤痕）的女性对手术后悔的比例明显更高。美容效果对患者非常重要，或许更统一的患者治疗方案会更受青睐。
