垂直乳晕切口假体隆乳术应用探析.docVIP

垂直乳晕切口假体隆乳术应用探析[摘要]目的:探讨一种安全、并发症少、便于手术操作、无明显痕迹的隆乳手术方法。方法:笔者在2006年2月～2009年3月间采用垂直乳晕绕乳头基底部内侧切口,将乳房假体置入乳腺后间隙或胸大肌后间隙,行假体隆乳手术。结果:126例行隆乳手术就医者,术后乳房解剖形态自然、逼真、无明显瘢痕,乳头乳晕感觉无异常,未见明显并发症。结论:用该方法进行假体隆乳手术具有安全、损伤小、手术部位直观、假体便于置入、并发症少等优点,该方法不适合乳晕小的就医者。 [关键词]隆乳术;垂直乳晕切口;假体置入 [中图分类号]R655.82[文献标识码]A[文章编号]1008-6455(2010)01-0012-02 Clinical experience report for the vetical incision of the areola in augmentation mammaplasty WANG Pei-sen1,MA Wen-xi2, QI Yue3,WANG Xiao-yuan4 (1.Wuxi Ruili Cosmetic Surgery Hospital,Wuxi 214000, Jiangsu,China;2.Zhongda Hospital, Medical College of Southeast University, Nanjing 210000, Jiangsu, China; 3.Peking University Health Science Center, Bejing 100083, China;4.Medical Plastic Department of Beijing Medical University, Beijing 100082, China) Abstract:ObjectiveA more secure and easily executed method with less scars and symptoms is discussed.MethodsFrom 2006.2 to 2007.3, the author has successfully performed many operations by sending the prosthesis into the interspace after pectoralis majorwith from a specially designed incision.Results We got 126 successful cases with well-looking breasts and less scars or complications.ConclusionThis method is more secure, easily performed and make less trauma to the body, however, it cannot be used to the patient with small papillae. Key words: augmentation mammaplasty; vetical incision of the areola; prosthesis implantation 通过乳晕内切口进行假体隆乳手术治疗女性小乳症,能增大乳房的体积,改善其形状和对称性,使胸部丰满[1],切口痕迹不明显,且隐蔽,无明显切口瘢痕形成,具有显著的临床效果。笔者在2006年2月～2009年3月,用经乳头基底部内侧垂直乳晕切口方法行假体置入隆乳术48例,乳晕切口愈合良好,无瘢痕形成,现报道如下。 1临床资料 本组就医者48例,94侧,均为女性。双侧隆乳者45例,单侧隆乳者2例。均已生育哺乳,年龄自28～47岁。乳房萎缩者36例,乳房发育不良者16例,伴有乳房轻度下垂者12例。圆形乳房假体置入者39例,解剖型(水滴状)乳房假体置入者9例,容量为160～240ml。乳房假体置入层次位于乳腺后间隙者17例,置入胸大肌后间隙者31例。术后随访随访6～24个月,乳晕切口愈合良好,切口无明显瘢痕形成,无不良反应及术后并发症,术后病人满意。 2 方法 2.1 麻醉方法:采用乳晕切口及剥离范围皮下、乳腺后间隙和乳房周围浸润性麻醉,加第3、4、5、6肋间神经封闭方法麻醉47例,采用静脉复合麻醉及乳晕、乳腺周围、乳腺后间隙局部浸润性麻醉79例。 2.2 手术方法:切口线自乳晕上缘中点乳晕内1mm,垂直向下达乳晕下缘中点乳晕内1mm。切口沿乳晕中线自上向下达乳头上方中点时,绕经乳头基底部内侧后回归中线达乳晕下缘。切开乳晕皮肤、皮下