乳晕双菱形真皮瓣交叉填充支撑法矫正乳头内陷  

Correction of inverted nipple with bilateral areolar rhomboid dermal flaps by crossed filling and supporting

作　　者：周虹[1] 谭谦[1] 吴杰[1] 郑东风[1] 周宏礽[1] 许澎[1] 王淑琴[1] 葛华强[1] 

机构地区：[1]南京大学医学院附属鼓楼医院整形烧伤科,210008

出　　处：《中华医学美学美容杂志》2011年第4期263-265,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨一种乳晕双菱形真皮瓣交叉填充支撑法矫正乳头内陷的手术方法及矫正效果。方法对乳头内陷36例64侧，设计双菱形去表皮真皮瓣，于乳头基底部交叉填充支撑乳头，并固定。术后乳头悬吊1周．10d拆线。结果36例乳头内陷患者术后均未发生乳头血运障碍。随访6个月至3年，乳头内陷无复发，乳头外形医患双方均满意，乳头感觉无障碍。结论采用乳晕双菱形真皮瓣交叉填充支撑法矫正乳头内陷，操作简单，乳头形态自然，血运无障碍，感觉功能正常，切口隐蔽，瘢痕不明显，能保留哺乳功能，是较为理想的乳头内陷矫治方法。Objective To explore a new methodology with bilateral rhomboid dermal flaps for surgical treatment of inverted nipple. Methods 36 cases with 64 inverted nipples were involved in this study. Among these cases, 8 of them were evaluated as mild degree, while 19 moderate and 9 severe. In this procedure, the bilateral rhomboid incisions were designed. The rhomboid skin was deepitbelial- ized and two dermal flaps were created. Then these two dermal flaps were filled crosswise through the tunnel beneath the nipple and fixed as supporting. After the operation, the continuous traction of the nipple lasted for one week, and sutured out 10 days later. Results None of these 36 cases appeared nipple blood circulation disorder after operation. Postoperative follow-up for 6 months- 3 years showed that the appearance of the nipple was satisfactory. There were no recurrence and sensory dis turbance. Conclusions The method introduced in this study is simple, the appearance of nipple is natural and no complication has been found. The incision is larvaeeous while the scar is invisihle. Meanwhile this method is also benefit for reserving the function of breast-feeding. It is proved to be an ideal method for correcting the inverted nipple.

关 键 词：乳头内陷 双菱形真皮瓣 矫正 

分 类 号：R655.8[医药卫生—外科学]