“改良双环法”矫正隆乳术后乳房下垂畸形
发布时间：2018-08-02 12:42
【摘要】：目的探讨“改良双环法”在注射隆乳、假体隆乳术后出现的乳房下垂畸形矫正中的临床应用。方法(1)“改良双环法”取出硅胶假体/注射物矫正乳房下垂:以乳头为中心设计双环形切口线,去除内外环之间上皮组织,先沿皮下组织和乳腺组织之间锐性分离乳房下极4点至8点范围内或视具体情况适当扩大范围的皮瓣达乳腺组织边缘,沿乳腺下象限放射状剖开腺体,取出硅胶乳房假体或注射物,同时彻底清除受累变性的组织,在以不影响乳头-乳晕复合体血运的前提下适当有限的分离其余象限皮瓣,分离的范围大约是外环以外、稍大于内外环间距的范围,不必广泛分离到乳腺的边缘,将乳腺下象限垂直切口双侧腺体适当折叠卷曲缝合、塑形矫正乳房下垂,无需特殊固定。(2)“改良双环法”取出假体/注射物同期植入硅胶假体矫正乳房下垂:经乳晕周缘“双环形”切口,以同法取出假体/注射物及受累变性的组织后,钝锐性分离胸大肌后间隙,尽量保持胸大肌完整性,范围如隆乳范围,将硅胶乳房假体置入胸大肌后间隙,视具体情况乳腺下象限内外侧适当折叠缝合塑形矫正乳房下垂。结果 2008年6月至2015年3月,共收治各种方法隆乳术后乳房下垂畸形患者15例,其中注射“奥美定”隆乳7例,植入硅胶假体隆乳6例,注射人工硅油隆乳2例;轻度下垂6例,中度下垂4例,重度下垂5例;年龄35-50岁,平均年龄42.5岁。采用“改良双环法”取出假体/注射物并行乳房下垂矫正9例,“改 良双环法”取出假体/注射物同期植入硅胶假体矫正乳房下垂6例。随访2个月至2年半,术后效果较好,无血肿、血清肿、乳头-乳晕坏死、瘢痕增生等并发症发生。结论“改良双环法”矫正隆乳术后乳房下垂,其操作简单、切口瘢痕隐蔽、患者易接受,术后效果好,该术式通过将来更长期的临床实践应用和随访观察,有望得到进一步肯定和推广应用。
[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.
【学位授予单位】：福建医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R655.8
本文编号：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.
【学位授予单位】：福建医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R655.8
【参考文献】
相关期刊论文 前2条
1 王琦;谢群;刘丹丹;;改良双环法乳房下垂矫正术[J];中国美容医学;2012年01期
2 唐新辉;季滢;施问国;赵正杰;余创然;;应用乳腺旋转瓣固定矫正轻中度乳房下垂[J];中国美容医学;2014年07期
，本文编号：2159472
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