Mandrekas A D, Zambacos G J, Anastasopoulos A, Hapsas D A
Plastic Surgery Centre of Athens, Greece.
Br J Plast Surg. 1996 Oct;49(7):442-6. doi: 10.1016/s0007-1226(96)90027-2.
A review of reduction mammaplasties with the inferior pedicle technique in 371 patients over 10 years is presented and the complications associated with this particular technique are discussed. The mean age was 33.1 years (range 15-67), the average preoperative sternal notch to nipple distance was 30.4 cm (range 21-43), the mean breast tissue resected was 870 g per breast (range 250-1960) and the mean operating time was 3.1 hours (range 2.5-4). The overall complication rate was 11.4%. The incidence of specific complications in our series was: haematoma 0.3%, nipple and/or pedicle necrosis 0.8%, wound dehiscence 4.6%, fat necrosis 0.8%, carcinoma 0.5%, loss of sensitivity of the nipple 1.3%, hypertrophic scars 3.3%, dermoid cysts 0.3% and marked lower fullness 0.3%. 72% of the patients that became pregnant were able to lactate.
本文回顾了10年间采用下蒂技术进行的371例乳房缩小术，并讨论了与该特定技术相关的并发症。平均年龄为33.1岁（范围15 - 67岁），术前胸骨切迹至乳头的平均距离为30.4厘米（范围21 - 43厘米），每侧乳房切除的平均乳腺组织为870克（范围250 - 1960克），平均手术时间为3.1小时（范围2.5 - 4小时）。总体并发症发生率为11.4%。我们系列中特定并发症的发生率为：血肿0.3%，乳头和/或蒂坏死0.8%，伤口裂开4.6%，脂肪坏死0.8%，癌变0.5%，乳头感觉丧失1.3%，增生性瘢痕3.3%，皮样囊肿0.3%，以及明显的下极丰满度缺失0.3%。怀孕的患者中有72%能够哺乳。
