改良“箭头”皮瓣法乳头乳晕再造术  

Nipple-areolar reconstruction with the modified arrow flap

作　　者：李巍[1] 穆兰花[1] 栾杰[1] 穆大力[1] 郑一华[1] 辛敏强[1] 刘晨[1] 

机构地区：[1]中国协和医科大学中国医学科学院整形外科医院乳房中心,北京100144

出　　处：《中华整形外科杂志》2008年第1期23-25,共3页Chinese Journal of Plastic Surgery

摘　　要：目的介绍改良“箭头”皮瓣法乳头乳晕再造术的应用经验。方法将“箭头”皮瓣法乳头乳晕再造术的设计经过调整改进，为曾使用自体组织行乳房再造的患者再造乳头乳晕12例，其中2例采用改良“箭头”皮瓣法＋薄中厚皮片移植乳头乳晕再造，4例采用改良“箭头”皮瓣法＋自体肋软骨埋置＋乳晕文身的乳头乳晕再造，6例采用“箭头”皮瓣法＋乳晕文身的乳头乳晕再造。结果再造乳头全部成活，其中2例术后1个月时再造乳头回缩完全变平，其余10例术后3个月时再造乳头回缩率约50％，跟踪随访6个月至1年，再造乳头大小稳定，与对侧基本对称。结论本手术方法设计合理、操作简单，且无需另选供区，远期乳头突度维持也良好。Objective To introduce the clinical experience of nipple-areolar reconstruction with the modified arrow flap. Methods The arrow flaps were modified for nipple-areolar reconstruction in 12 cases. Among them, 2 cases were treated with combined thin split-thickness skin graft; 4 cases with autologeous rib implant and tattoo; 6 cases with tattoo. Results All the reconstructed nipples were survived. The reconstructed nipples lost projection 1 month after operation in 2 cases. The other 10 cases retained 50% of the nipple projection 3 months after operation. The results were maintained with satisfactory symmetry during the follow-up period of 6 months to one year. Conclusions The modified flap is easily performed with reasonable design and no need of donor site. The nipple projection can be maintained with good long-term effect.

关 键 词：改良“箭头”皮瓣法 乳头乳晕再造术 乳房 设计 

分 类 号：R655.8[医药卫生—外科学]