微小假体在乳房腺体再造中的应用  

Breast reconstruction with multiple miniprostheses

作　　者：杨维琦[1] 杨佩瑛[1] 栾杰[1] 范金财[1] 张旭辉[1] 朱志祥[2] 

机构地区：[1]中国医学科学院中国协和医科大学整形外科医院,北京100041 [2]深圳市第二人民医院整形烧伤科

出　　处：《中华整形外科杂志》2004年第4期280-281,共2页Chinese Journal of Plastic Surgery

摘　　要：目的　提出一种新的应用微小假体充填乳房腺体缺损的方法。方法　将微小假体逐一置入腺体缺损区胸大肌下 ,或置于转移的背阔肌下 ,通过堆积组合塑形 ,直至获得所需外形的大小。结果　已行 7例 7侧手术 ,其中乳腺纤维腺瘤切除后腺体缺损 5例 5侧 ,乳房血管瘤切除后腺体缺损 1例 1侧 ,巨乳缩小术后腺体缺损 1例 1侧 ,均获满意效果。结论　应用微小假体进行乳房腺体再造切口小 ,术中容易判断乳房体积 ,便于双侧调节达到对称 ,但可能有较低的包膜挛缩发生率 ,可用于隆乳、乳房再造 。Objective To evaluate a new technique for breast reconstruction with multiple miniprostheses, Methods\ Each silicone miniprosthesis(10～15ml) was implanted one by one beneath the prepared muscle pocket until the desired volume was achieved. Results\ Seven patients were treated with the above mentioned technique, including five after gland fibroadenoma excision, one hemangioma excision and one reduction mammoplasty. The results were satisfactory. Conclusion\ The above mentioned technique with the miniprostheses may be another good way for breast augmentation and breast reconstruction with many advantages such as smaller incision, easy intraoperative assessment of the ideal size of the breast, easy handling the technique, perhaps low incidence of capsular contracture.

关 键 词：微小假体 乳房腺体再造 手术方法 乳房再造 

分 类 号：R655.8[医药卫生—外科学]