真皮皮下蒂皮瓣环状包绕及牵引乳腺导管矫治重度乳头内陷  

Correction of severe inverted nipple with long six-side polygon dermal tissue flaps by purse string surrounded and ductal traction

作　　者：汪洪源[1] 王明刚[1] 汪凯[1] 方泓[1] 杜晓扬[1] 

机构地区：[1]安徽医科大学附属省立医院整形外科,合肥230001

出　　处：《中华医学美学美容杂志》2011年第4期266-268,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨一种矫治重度乳头内陷，避免其复发的治疗方法。方法在乳头水平方向乳晕内对应设计2个长六边形切口，去表皮后切开外侧4条边形成真皮皮下蒂皮瓣。充分离断挛缩纤维使乳头自然显露．经保留乳腺导管两侧皮下隧道环状包绕填充支撑乳头。牵拉乳头，在乳头基底部水平穿刺7号针头牵引乳腺导管3～5周，避免乳头回缩。结果14例．术后随访3～18个月，切口瘢痕不明佩，外形满意，感觉良好，无复发。2例产后哺乳功能正常。结论方法操作简便，疗效可靠．损伤小，最大限度地保留了哺乳功能，是矫治重度乳头内陷和保留哺乳功能的一种较理想的方法。Objective To explore a new surgical treatment for severe inverted nipple and to reduce the possibility of recurrence. Methods Two upposite long six-side polygon de-epithelialized areas were designed within the range of areola on both sides of the nipple. The four sides in lateral portion were dissected and two wedge-shaped dermal and glandular tissue flaps were created, completely relea sing the contractive fiber causing nipple retraction while reserving breast ducts. The flaps were re- versed 180 degrees through the tunnel hilateral sides of breast ducts to support the nipple. It was trac ted for 3-4 weeks by series 7 needle penetrating the nipple basis. Results All the 14 patients were fol lowed up for 3-18 months, and they were satisfied with the appearance and the aesthesia of the nipple and no recurrence was observed, breast-feed function reserved in 2 cases after childbirth. Conclusions This operation is easy Io perform with satisfying aesthetic outcome and breast feed function remaining. It is an ideal method for correcting serious inverted nipple.

关 键 词：乳头内陷 真皮皮下蒂皮瓣 导管牵引 

分 类 号：R655.8[医药卫生—外科学]