本文關(guān)鍵詞： 隆乳術(shù) 假體 乳腺下平面 胸大肌下平面　出處：《第三軍醫(yī)大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

【摘要】：研究背景:近來年,硅膠假體隆乳術(shù)已成為最常見的美容外科手術(shù)之一,而假體置入層次的選擇是隆乳術(shù)的關(guān)鍵。胸大肌下和乳腺下平面是最常用和使用最廣泛的假體置入層次,然而關(guān)于兩個(gè)平面術(shù)后患者的恢復(fù)情況、并發(fā)癥的發(fā)生和患者滿意度的相互比較的相關(guān)研究,國內(nèi)仍少見報(bào)道。本研究通過回顧性分析的方法比較和分析乳腺下和胸大肌下隆乳術(shù)后患者的恢復(fù)、并發(fā)癥的發(fā)生以及滿意度的情況。方法:144例初次接受硅膠假體隆乳術(shù)的女性患者,根據(jù)假體置入層次的不同,分為乳腺下平面組(A組)和胸大肌下平面組(B組),分別統(tǒng)計(jì)兩組患者的基本信息、手術(shù)相關(guān)信息、術(shù)后的恢復(fù)情況、并發(fā)癥的發(fā)生以及患者的滿意度。結(jié)果:將入組病例分為A組(39例)和B組(105例),A組患者的BMI和乳腺腺體厚度都要明顯高于B組(P0.05)。與B組比較,A組患者的術(shù)中失血量更小、術(shù)后鎮(zhèn)痛時(shí)間和留置引流管的時(shí)間更短(P0.05),手術(shù)時(shí)間和術(shù)后住院天數(shù)兩組間無明顯差異(P0.05)。兩組患者術(shù)后包膜攣縮、假體移位、感染和二次手術(shù)的發(fā)生率無明顯差異(P0.05),但A組患者術(shù)后乳頭、乳暈麻木感的發(fā)生率要明顯高于B組(P0.05)。A組中76.47%的患者對隆乳術(shù)后的總體效果表示滿意或非常滿意,相對于B組的73.86%無統(tǒng)計(jì)學(xué)差異(P0.05)。結(jié)論:乳腺下和胸大肌下假體隆乳術(shù)后并發(fā)癥的發(fā)生率和患者滿意度相近,但乳腺下平面的創(chuàng)傷更小、恢復(fù)更快。
[Abstract]:Background: in recent years, silicone prosthesis augmentation mammoplasty has become one of the most common cosmetic surgery. The choice of prosthetic implantation level is the key to augmentation mammoplasty. Subpectoralis major and submammary plane are the most commonly used and widely used prosthetic implant levels. The incidence of complications and the comparison of patients' satisfaction with each other are still rarely reported in China. This study compared and analyzed the recovery of patients after breast augmentation mammary surgery and subpectoralis major augmentation mammoplasty by means of retrospective analysis. Methods 144 female patients underwent silicone augmentation mammoplasty for the first time, according to the different levels of implant implantation. The patients were divided into submammary plane group (group A) and subpectoralis major plane group (group B). The basic information of patients in the two groups, the relevant information of operation, and the recovery after operation were counted, respectively. Results: the BMI and breast gland thickness in group A and group B were significantly higher than those in group B (P 0.05), and the amount of intraoperative blood loss in group A was lower than that in group B. The time of postoperative analgesia and the time of indwelling drainage tube were shorter than that of the control group (P 0.05). There was no significant difference between the two groups in the operation time and the days of hospitalization after operation (P 0.05). The postoperative capsule contracture and prosthesis displacement were observed in the two groups. There was no significant difference between the incidence of infection and secondary surgery (P 0.05), but the incidence of nipple and areola numbness in group A was significantly higher than that in group B (P 0.05). 76.47% of the patients in group A were satisfied or very satisfied with the overall effect of augmentation mammoplasty. There was no statistical difference between group B and group 73.86% (P 0.05). Conclusion: the incidence of complications after breast augmentation with submammary and subpectoral major prostheses is similar to the patients' satisfaction, but the submammary level is less traumatic and recovers faster.
【學(xué)位授予單位】：第三軍醫(yī)大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R622

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本文編號：1494412