[1]唐新辉,李 京,刘 英,等. 内窥镜辅助假体隆乳的术前精确设计和术中精准控制[J].中国美容医学,2019,(10):1-3.
　TANG Xin-hui,LI Jing,LIU Ying,et al. Precise Preoperative Design and Intraoperative Control of Endoscope-assistedAugmentation Mammaplasty[J].Medical Aesthetics and Beauty,2019,(10):1-3.
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 内窥镜辅助假体隆乳的术前精确设计和术中精准控制
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年10期
页码:
1-3
栏目:
出版日期:
2019-10-05

文章信息/Info

Title:
 Precise Preoperative Design and Intraoperative Control of Endoscope-assisted
Augmentation Mammaplasty
文章编号:
1008-6455（2019）10-0001-03
作者:
唐新辉1; 李 京2; 刘 英1; 王 杰1; 彭正春1; 宋茂启1
Author(s):
TANG Xin-hui1; LI Jing2; LIU Ying1; WANG Jie1; PENG Zheng-chun1; SONG Mao-qi1
关键词:
 ; [关键词]内窥镜; 隆乳术; 乳房假体; 双平面法; 胸大肌; 并发症
Keywords:
 ; Key words: endoscope;  augmentation mammoplasty;  breast implant;  dual-plane technique;  pectoralis major;  complications
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的：探讨内窥镜辅助假体隆乳手术，术前精确设计和术中精准控制的方法、技巧和作用。方法：采用笔者提出的
“十一精确设计法”，进行乳房假体选择和术前画线设计；术中全程用内窥镜进行精准控制，直视下剥离胸大肌后间隙，用针
头穿刺精准定位剥离边缘；内窥镜直视下精准形成“高位双平面”。结果：2015年2月-2018年12月，采用此方法共完成内窥镜
辅助假体隆乳1 658例，术后早期出血3例。随访6～24个月，Ⅲ级包膜挛缩8例，可触及假体边缘感21例，假体移位2例，无感
染、血肿、血清肿、窗帘征、双泡畸形、Ⅳ级包膜挛缩等并发症发生。结论：假体隆乳术前精确设计，术中在内窥镜直视下精
准控制，是保证内窥镜辅助假体隆乳取得良好效果的有效方法，是精准可控的假体隆乳方式，值得在临床上推广应用。

Abstract:

Abstract: Objective To explore the methods, skills and functions of precise preoperative design and precise intraoperative
control in endoscope-assisted augmentation mammoplasty. Methods Eleven precise design methods proposed by the author
were used to select breast prostheses and draw lines before operation. During the whole operation, the endoscope was used for
precise control. The posterior space of the pectoralis major muscle was peeled off under direct vision, and the peeling edge was
accurately positioned by needle puncture. The “high position double plane”was accurately formed under the direct vision of
endoscope. Results From February 2015 to December 2018, 1 658 cases of endoscope-assisted augmentation mammoplasty
were completed by this method, early bleeding occurred in 3 cases. Following up for 6～24 months, there were 8 cases of grade
Ⅲ capsular contracture, 21 cases of palpable marginal sensation and 2 cases of prosthesis displacement. No complications such
as infection, hematoma, seroma, curtain sign, double vesicle deformity and grade Ⅳ capsular contracture occurred. Conclusion
Precise design before augmentation mammoplasty and precise control during operation under endoscopy are effective methods
to ensure good results of augmentation mammoplasty assisted by endoscope. It is a precise and controllable method of
augmentation mammoplasty, and it is worth popularizing and applying in clinic.

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更新日期/Last Update: 2019-11-05