乳腺下和胸大肌下假体隆乳术后效果及并发症分析

发布时间：2018-02-07 12:47

本文关键词： 隆乳术假体乳腺下平面胸大肌下平面　出处：《第三军医大学》2015年硕士论文　论文类型：学位论文

【摘要】：研究背景:近来年,硅胶假体隆乳术已成为最常见的美容外科手术之一,而假体置入层次的选择是隆乳术的关键。胸大肌下和乳腺下平面是最常用和使用最广泛的假体置入层次,然而关于两个平面术后患者的恢复情况、并发症的发生和患者满意度的相互比较的相关研究,国内仍少见报道。本研究通过回顾性分析的方法比较和分析乳腺下和胸大肌下隆乳术后患者的恢复、并发症的发生以及满意度的情况。方法:144例初次接受硅胶假体隆乳术的女性患者,根据假体置入层次的不同,分为乳腺下平面组(A组)和胸大肌下平面组(B组),分别统计两组患者的基本信息、手术相关信息、术后的恢复情况、并发症的发生以及患者的满意度。结果:将入组病例分为A组(39例)和B组(105例),A组患者的BMI和乳腺腺体厚度都要明显高于B组(P0.05)。与B组比较,A组患者的术中失血量更小、术后镇痛时间和留置引流管的时间更短(P0.05),手术时间和术后住院天数两组间无明显差异(P0.05)。两组患者术后包膜挛缩、假体移位、感染和二次手术的发生率无明显差异(P0.05),但A组患者术后乳头、乳晕麻木感的发生率要明显高于B组(P0.05)。A组中76.47%的患者对隆乳术后的总体效果表示满意或非常满意,相对于B组的73.86%无统计学差异(P0.05)。结论:乳腺下和胸大肌下假体隆乳术后并发症的发生率和患者满意度相近,但乳腺下平面的创伤更小、恢复更快。
[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.
【学位授予单位】：第三军医大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R622

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