经腋窝入路胸大肌下假体隆乳术230例分析  

Clinical analysis to subpectoral breast augmentation through axillary incision in 230 cases

作　　者：李长江 李攀 谢洋春[2] 

机构地区：[1]上海宏康医院整形美容科,上海200333 [2]中国医学科学院整形外科医院

出　　处：《中国美容整形外科杂志》2011年第3期134-136,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的 探讨胸大肌下间隙假体置入隆乳术的方法和疗效.方法 回顾性分析我院自2006年5月至2010年6月收治的胸大肌下间隙假体置入隆乳者230例.设计腋窝切口,锐性分离至胸大肌外侧缘,再钝性分离至胸大肌后间隙,置入合适的硅凝胶假体后缝合切口.术后双侧置负压引流管,口服抗生素5d,7d拆线.结果 随访所有230例求美者（460只乳房）3～24个月,切口均Ⅰ期愈合.其中,4例（7只）出现包膜挛缩,行包膜切除术并更换假体;5例（10只）血清肿者,切开引流后恢复;1例双侧不对称者,经手术调整后,效果满意.结论 胸大肌下间隙隆乳术可有效减少包膜挛缩的发生,切口瘢痕隐蔽,是较理想的隆乳方法.Objective To explore the effect and operative technique of breast implant under posterior pectoralis major plane through axillary incision. Methods A retrospective study was performed based on the clinical data of 230 cases in our department from May 2006 to June 2010. For the operation procedure, a sharp dissection was performed to the lateral border of pectoralis major through a axillary incision and the subpectoral plane was separated by blunt dissection. The silicone prosthesis was implanted in the subpectoral plane, then the incision was sewed up. Vacuum sealing drainage was performed in both sides combined with oral antibiotics for 5 days, then stitches were taken out at about 7 days, postoperatively. Results Totally 230 cases （460 breasts） were followed up for 3 to 24 months and all incisions healed primarily. Four cases （7 breasts） with capsular contracture were performed entire resection; 5 cases （10 breasts） with seroma were cured by incision and drainage; 1 case with asymmetry was corrected after surgical revision. All eases were satisfied with the postoperative results. Conclusion It is an optimal and ideal method of subpeetoral breast augmentation through axillary incision with such advantages as less incidence rate of capsular eontraeture and covert incision scar.

关 键 词：胸大肌下平面 隆乳术 腋窝切口 乳房假体 

分 类 号：R655.8[医药卫生—外科学]