脱套法矫正乳头肥大5例

发布时间：2018-08-17 11:15

【摘要】：目的:探讨一种设计简单并可以广泛应用的新方法矫正乳头肥大。方法:收集从2015年3月到2016年9月期间广西医科大学第一附属医院整形美容外科门诊的乳头肥大患者共5例(10个乳头),女性,平均年龄32岁。术前乳头平均直径为17.1mm。乳头平均高度为18.1mm。采用脱套法(在乳头顶面正中设计圆形切口,乳头侧面设计环形切口,从乳头顶面垂直向下切开乳头皮肤,由皮下向乳头基底脱套剥离,术中注意保留乳头中央组织的血运和乳腺中央导管的完整,然后在3、6、9、12点位置向乳头基底部纵形切开剥离下的乳头皮肤套,分别向四个方向打开,沿着乳头侧面环形设计线剪除多余皮肤及皮下组织。环形缝合切口再造乳头。)对肥大乳头进行矫正,术后门诊及电话随访6个月,观察乳头有无坏死,评估乳头的形状、大小、感觉功能及疤痕情况。结果:5例共10个乳头,术后随访6个月均满意,没有出现乳头坏死、乳头感染;乳头横径为平均数为9.2mm,乳头高度平均数为5.6mm;肥大乳头的直径和高度明显变小,外观改善,疤痕不明显,乳头感觉良好。结论:脱套法乳头缩小术设计简单、手术容易操作、效果肯定,可广泛应用于乳头肥大矫正。
[Abstract]:Objective: to explore a new method for correcting nipple hypertrophy with simple design and wide application. Methods: from March 2015 to September 2016, a total of 5 cases (10 nipples) with female nipple hypertrophy, mean age 32 years, were collected from the outpatient department of plastic and cosmetic surgery, first affiliated Hospital of Guangxi Medical University. The mean diameter of nipple before operation was 17.1 mm. The average height of nipple was 18.1mm. A circular incision was designed in the middle of the top of the nipple, a circular incision was designed on the side of the nipple, the skin of the papilla was cut vertically down from the top of the nipple, and the skin was removed from the subcutaneous to the base of the nipple. During the operation, the blood flow of the central tissue of the papilla and the integrity of the central duct of the mammary gland were preserved, and then the skin sleeve of the nipple was cut into the base of the nipple at 12 o'clock and opened in four directions respectively. Cut off excess skin and subcutaneous tissue along the circular design line of the side of the nipple. Ring suture incision to reconstruct nipple. The mast nipples were corrected and followed up by telephone and outpatient for 6 months. The nipple necrosis was observed and the shape, size, sensory function and scar of the nipple were evaluated. Results the 10 nipples of 5 cases were all satisfactory for 6 months, no nipple necrosis, nipple infection, the average diameter of nipple was 9.2 mm, the average height of nipple was 5.6 mm, the diameter and height of mast nipple were obviously smaller and the appearance was improved. The scar is not obvious, the nipple feels good. Conclusion: the method of nipple reduction is simple in design, easy to operate and effective, and can be widely used in the correction of nipple hypertrophy.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R655.8

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