真皮脂肪瓣联合十字缝线支撑矫正重度乳头内陷的临床观察
发布时间：2019-05-12 17:53
【摘要】：目的探讨真皮脂肪瓣联合十字缝线支撑矫正重度乳头内陷的临床效果。方法对15例(29侧)重度乳头内陷患者,运用乳晕下真皮脂肪瓣交叉支撑乳头基底、瓣下以缝线做“十”字交叉支撑、同时外接牵引器牵拉悬吊联合疗法,术后随访6个月至一年,测量乳头矫正高度,评估矫正后乳头形态。结果所有患者手术后至拆线期间均未发生感染或皮肤坏死并发症,切口愈合良好。其中14例患者愈后均无乳头血运障碍或感觉障碍,1例患者拆线时左侧乳头感觉稍麻木,术后三个月时恢复正常,4例有哺乳需求的患者产后顺利哺乳。术后6个月随访平均乳头矫正高度为0.35cm,医患双方对矫正后的乳头外观满意。结论真皮脂肪瓣联合“+”字缝线支撑法矫正重度乳头内陷,该手术方法的设计从乳头内陷的发病机制出发,针对性的运用解决方案,设计合理,手术效果良好,术后复发率低,安全且实用,是较为理想的乳头内陷矫正方法。
[Abstract]:Objective to investigate the clinical effect of dermis fat flap combined with cross suture support in the correction of severe nipple invagination. Methods 15 patients (29 sides) with severe nipple invagination were treated with subareola dermis fat flap cross-supporting nipple base, sutures under the flap for "ten" cross support, and external tractor traction and suspension combined therapy. The patients were followed up for 6 months to 1 year. The height of nipple correction was measured and the shape of nipple after correction was evaluated. Results there were no complications of infection or skin necrosis from operation to disconnection, and the incision healed well. Among them, 14 patients had no nipple blood flow disorder or sensory disturbance, 1 patient felt slightly numb at the time of disconnection, returned to normal three months after operation, and 4 patients with lactation need lactation smoothly after delivery. The average nipple correction height was 0.35 cm at 6 months after operation, and both doctors and patients were satisfied with the appearance of the corrected nipples. Conclusion the combination of dermis fat flap and "suture support method is used to correct severe nipple invagination. The design of this surgical method is based on the pathogenesis of nipple invagination, and the targeted application of the solution is reasonable, and the operation effect is good. The postoperative recurrence rate is low, safe and practical, and it is an ideal method for correction of nipple invagination.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R655.8
[Abstract]:Objective to investigate the clinical effect of dermis fat flap combined with cross suture support in the correction of severe nipple invagination. Methods 15 patients (29 sides) with severe nipple invagination were treated with subareola dermis fat flap cross-supporting nipple base, sutures under the flap for "ten" cross support, and external tractor traction and suspension combined therapy. The patients were followed up for 6 months to 1 year. The height of nipple correction was measured and the shape of nipple after correction was evaluated. Results there were no complications of infection or skin necrosis from operation to disconnection, and the incision healed well. Among them, 14 patients had no nipple blood flow disorder or sensory disturbance, 1 patient felt slightly numb at the time of disconnection, returned to normal three months after operation, and 4 patients with lactation need lactation smoothly after delivery. The average nipple correction height was 0.35 cm at 6 months after operation, and both doctors and patients were satisfied with the appearance of the corrected nipples. Conclusion the combination of dermis fat flap and "suture support method is used to correct severe nipple invagination. The design of this surgical method is based on the pathogenesis of nipple invagination, and the targeted application of the solution is reasonable, and the operation effect is good. The postoperative recurrence rate is low, safe and practical, and it is an ideal method for correction of nipple invagination.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R655.8
【参考文献】
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1 杨锴;李广学;穆|c;刘岩;彭U，
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