[1]陈 静,王少强,樊菁菁,等. 经乳晕切口切除乳腺良性病变同期行隆乳术的效果观察[J].中国美容医学,2019,(02):29-31.
　CHEN Jing,WANG Shao-qiang,FAN Jing-jing,et al. Effect Observation of Augmentation Mammaplasty after the Resection of the BenignBreast Lesions through Periareolar Incision[J].Medical Aesthetics and Beauty,2019,(02):29-31.
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 经乳晕切口切除乳腺良性病变同期行隆乳术的效果观察
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年02期
页码:
29-31
栏目:
出版日期:
2019-02-15

文章信息/Info

Title:
 Effect Observation of Augmentation Mammaplasty after the Resection of the Benign
Breast Lesions through Periareolar Incision
文章编号:
1008-6455（2019）02-0029-03
作者:
陈 静; 王少强; 樊菁菁; 游祥晨
Author(s):
CHEN Jing; WANG Shao-qiang; FAN Jing-jing; YOU Xiang-chen
关键词:
[关键词]隆乳术; 乳晕切口; 乳腺良性病变; 硅胶假体; 置入层次
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的：探讨乳晕切口入路乳腺良性病变切除同期行隆乳术的临床应用，并总结手术要点。方法：本组32例患者，
根据患者情况，标记切除乳腺良性病变范围，设计拟置入假体所需剥离范围，选择适宜假体。采用乳晕外缘弧形切口
2.5～3.5cm，使切口中点、乳腺病变中心及乳头在同一条直线上。分离乳腺病变区域皮肤与腺体，沿乳腺导管方向梭形
放射状切开腺体，切除乳腺病变，然后置入假体，常规留置负压引流3～6d。结果：所有患者均顺利完成手术，手术时间
(94.7±18.6)min，术中出血量(38.4±5.6)ml，术后引流(3.6±1.4)d，单侧乳腺引流量为(198.6±22.5)ml。术后门诊随访
12个月，2例患者出现乳头、乳晕感觉异常，2例患者出现局部腺体轻度凹陷，1例患者出现Baker Ⅱ级包膜挛缩。其余患者
乳腺外形丰满圆润，手感柔软，活动度好，无假体移位、双侧不对称及双峰乳形等并发症。结论：对于合并乳腺良性病变的
隆乳患者，经乳晕切口切除乳腺病损后再行隆乳术，这种手术方案是安全可行的。

Abstract:
Abstract: Objective To investigate the feasibility of performing augmentation mammaplasty after the resection of the benign
breast lesions through periareolar incision. Methods There were 32 patients in this group. According to the patient’s condition,
we marked the extent of breast lesion, designed the range of the needed dissection to implant the prosthesis, and chose suitable
silicone gel prosthesis. The periareolar incision was about 2.5-3.5cm. We wanted to make the midpoint of incision, the center of
breast lesion and the nipple on the same straight line. We dissociated the skin and glands of the breast lesion area. Breast benign
lesions were excised along the spindle shaped radial incision through periareolar incision. Silicone gel prosthesis were placed
through the periareolar incision. The vacuum drainage was used for 3-6d. Results All patients were successfully operated and had
not uncontrolled bleeding during operation. The operative time was(94.7±18.6)min,blood loss was(38.4±5.6)ml, postoperative
drainage was(3.6±1.4)d, unilateral breast drainage was (198.6±22.5)ml. Patients were followed up for 12 months,2 cases
appeared nipple and areola sensory loss, 2 cases appeared mild local dent on the surface of the breast,one case appeared
capsular contracture of Baker Ⅱ level. The rest cases of breast were mellow, soft, good activity, and did not appear prosthesis
displacement, bimodal breast shape and other complications. Conclusion For this kind of patients, augmentation mammaplasty
was performed after the resection of the benign breast lesions through periareolar incision was safe and feasible.
Key words: augmentation mammaplasty; periareolar incision; benign breast lesions; silicone gel prosthesis; implant plane

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更新日期/Last Update: 2019-03-06