“改良雙環(huán)法”矯正隆乳術(shù)后乳房下垂畸形
發(fā)布時間：2018-08-02 12:42
【摘要】：目的探討“改良雙環(huán)法”在注射隆乳、假體隆乳術(shù)后出現(xiàn)的乳房下垂畸形矯正中的臨床應(yīng)用。方法(1)“改良雙環(huán)法”取出硅膠假體/注射物矯正乳房下垂:以乳頭為中心設(shè)計雙環(huán)形切口線,去除內(nèi)外環(huán)之間上皮組織,先沿皮下組織和乳腺組織之間銳性分離乳房下極4點至8點范圍內(nèi)或視具體情況適當(dāng)擴大范圍的皮瓣達乳腺組織邊緣,沿乳腺下象限放射狀剖開腺體,取出硅膠乳房假體或注射物,同時徹底清除受累變性的組織,在以不影響乳頭-乳暈復(fù)合體血運的前提下適當(dāng)有限的分離其余象限皮瓣,分離的范圍大約是外環(huán)以外、稍大于內(nèi)外環(huán)間距的范圍,不必廣泛分離到乳腺的邊緣,將乳腺下象限垂直切口雙側(cè)腺體適當(dāng)折疊卷曲縫合、塑形矯正乳房下垂,無需特殊固定。(2)“改良雙環(huán)法”取出假體/注射物同期植入硅膠假體矯正乳房下垂:經(jīng)乳暈周緣“雙環(huán)形”切口,以同法取出假體/注射物及受累變性的組織后,鈍銳性分離胸大肌后間隙,盡量保持胸大肌完整性,范圍如隆乳范圍,將硅膠乳房假體置入胸大肌后間隙,視具體情況乳腺下象限內(nèi)外側(cè)適當(dāng)折疊縫合塑形矯正乳房下垂。結(jié)果 2008年6月至2015年3月,共收治各種方法隆乳術(shù)后乳房下垂畸形患者15例,其中注射“奧美定”隆乳7例,植入硅膠假體隆乳6例,注射人工硅油隆乳2例;輕度下垂6例,中度下垂4例,重度下垂5例;年齡35-50歲,平均年齡42.5歲。采用“改良雙環(huán)法”取出假體/注射物并行乳房下垂矯正9例,“改 良雙環(huán)法”取出假體/注射物同期植入硅膠假體矯正乳房下垂6例。隨訪2個月至2年半,術(shù)后效果較好,無血腫、血清腫、乳頭-乳暈壞死、瘢痕增生等并發(fā)癥發(fā)生。結(jié)論“改良雙環(huán)法”矯正隆乳術(shù)后乳房下垂,其操作簡單、切口瘢痕隱蔽、患者易接受,術(shù)后效果好,該術(shù)式通過將來更長期的臨床實踐應(yīng)用和隨訪觀察,有望得到進一步肯定和推廣應(yīng)用。
[Abstract]:Objective to investigate the clinical application of modified double loop method in correction of prolapse of breast after injection of augmentation mammoplasty and prosthetic augmentation. Methods (1) "modified double loop method" was used to remove silicone gel prosthesis / injector for correction of breast prolapse: double annular incision line was designed with nipple as the center to remove the epithelium between the inner and outer rings. First, the skin flap with sharp separation between the subcutaneous tissue and the mammary tissue reached the edge of the mammary tissue within the range of 4 to 8 points at the lower pole of the breast or, depending on the specific situation, the appropriate expanded range, and the gland was opened radially along the subquadrant of the mammary gland. Removal of silicone breast prosthesis or injection and thorough removal of involuted degenerative tissue, and proper and limited separation of the remaining quadrant flaps without affecting the blood flow of the nipple-areola complex, the separation range being approximately outside the outer ring, Slightly larger than the distance between the inner and outer rings, there is no need to widely separate the edges of the mammary gland, and the bilateral glands of the vertical incision of the lower quadrant of the breast are folded and curled sutured appropriately to shape and correct the breast drooping. No special fixation is required. (2) the "modified double loop method" is used to remove the prosthesis / injector and simultaneously implant the silicone prosthesis to correct the prolapse of the breast: through the "double ring" incision around the areola, the prosthesis / injection and the affected degenerative tissue are removed with the same method. The posterior space of pectoralis major muscle was obtuse and the integrity of pectoralis major muscle was kept as far as possible. The silicone breast prosthesis was placed into the posterior space of pectoralis major muscle. According to the specific situation, the breast prolapse was corrected by folding suture and suture in the inner and outer sides of the inferior quadrant of the breast. Results from June 2008 to March 2015, a total of 15 patients with breast prolapse after breast augmentation were treated, of whom 7 were injected with omedine, 6 were implanted with silicone prosthesis, and 2 were injected with artificial silicone oil. There were 6 cases of mild prolapse, 4 cases of moderate prolapse and 5 cases of severe prolapse, with an average age of 42.5 years (35-50 years). "modified double loop method" was used to remove prosthesis / injection and corrected breast droop in 9 cases, and "good double loop method" to remove prosthesis / injector and implant silicone prosthesis to correct breast prolapse in 6 cases. All patients were followed up for 2 months to 2 and a half years. No hematoma, serum swelling, nipple-areola necrosis and scar hyperplasia occurred. Conclusion the modified double loop method for correction of breast prolapse after augmentation mammoplasty is simple, the incision scar is concealed, the patient is easy to accept, and the postoperative effect is good. The method is applied in clinical practice and followed up for a long time in the future. It is expected to be further affirmed and popularized.
【學(xué)位授予單位】：福建醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R655.8
本文編號：2159472
[Abstract]:Objective to investigate the clinical application of modified double loop method in correction of prolapse of breast after injection of augmentation mammoplasty and prosthetic augmentation. Methods (1) "modified double loop method" was used to remove silicone gel prosthesis / injector for correction of breast prolapse: double annular incision line was designed with nipple as the center to remove the epithelium between the inner and outer rings. First, the skin flap with sharp separation between the subcutaneous tissue and the mammary tissue reached the edge of the mammary tissue within the range of 4 to 8 points at the lower pole of the breast or, depending on the specific situation, the appropriate expanded range, and the gland was opened radially along the subquadrant of the mammary gland. Removal of silicone breast prosthesis or injection and thorough removal of involuted degenerative tissue, and proper and limited separation of the remaining quadrant flaps without affecting the blood flow of the nipple-areola complex, the separation range being approximately outside the outer ring, Slightly larger than the distance between the inner and outer rings, there is no need to widely separate the edges of the mammary gland, and the bilateral glands of the vertical incision of the lower quadrant of the breast are folded and curled sutured appropriately to shape and correct the breast drooping. No special fixation is required. (2) the "modified double loop method" is used to remove the prosthesis / injector and simultaneously implant the silicone prosthesis to correct the prolapse of the breast: through the "double ring" incision around the areola, the prosthesis / injection and the affected degenerative tissue are removed with the same method. The posterior space of pectoralis major muscle was obtuse and the integrity of pectoralis major muscle was kept as far as possible. The silicone breast prosthesis was placed into the posterior space of pectoralis major muscle. According to the specific situation, the breast prolapse was corrected by folding suture and suture in the inner and outer sides of the inferior quadrant of the breast. Results from June 2008 to March 2015, a total of 15 patients with breast prolapse after breast augmentation were treated, of whom 7 were injected with omedine, 6 were implanted with silicone prosthesis, and 2 were injected with artificial silicone oil. There were 6 cases of mild prolapse, 4 cases of moderate prolapse and 5 cases of severe prolapse, with an average age of 42.5 years (35-50 years). "modified double loop method" was used to remove prosthesis / injection and corrected breast droop in 9 cases, and "good double loop method" to remove prosthesis / injector and implant silicone prosthesis to correct breast prolapse in 6 cases. All patients were followed up for 2 months to 2 and a half years. No hematoma, serum swelling, nipple-areola necrosis and scar hyperplasia occurred. Conclusion the modified double loop method for correction of breast prolapse after augmentation mammoplasty is simple, the incision scar is concealed, the patient is easy to accept, and the postoperative effect is good. The method is applied in clinical practice and followed up for a long time in the future. It is expected to be further affirmed and popularized.
【學(xué)位授予單位】：福建醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R655.8
【參考文獻】
相關(guān)期刊論文 前2條
1 王琦;謝群;劉丹丹;;改良雙環(huán)法乳房下垂矯正術(shù)[J];中國美容醫(yī)學(xué);2012年01期
2 唐新輝;季瀅;施問國;趙正杰;余創(chuàng)然;;應(yīng)用乳腺旋轉(zhuǎn)瓣固定矯正輕中度乳房下垂[J];中國美容醫(yī)學(xué);2014年07期
，本文編號：2159472
本文鏈接：http://sikaile.net/yixuelunwen/waikelunwen/2159472.html
最近更新
教材專著
