两种不同入路行乳腺后间隙假体隆乳术的临床效果比较  

Clinical effects between 2 approaches for breast augmentation with subglandular placement of prosthesis

作　　者：姚恒[1] 林卫[2] 胡晓佳[1] 李世荣[1] 刘剑毅[1] 

机构地区：[1]第三军医大学西南医院整形美容外科,重庆400038 [2]山东烟台经济技术开发区医院烧伤整形科,山东烟台264000

出　　处：《第三军医大学学报》2014年第20期2122-2124,共3页Journal of Third Military Medical University

基　　金：重庆市自然科学基金(CSTC2011jjA10055)~~

摘　　要：目的比较观察腋窝入路和乳晕入路在乳腺后间隙假体隆乳术的效果。方法收集2006年6月至2012年6月西南医院整形美容外科小乳症患者共120例,应用水滴形毛面硅胶囊假体,均行乳腺后间隙假体隆乳术,其中腋窝组60例应用腋窝入路,乳晕组60例应用乳晕入路,比较2组手术操作时间;术后随访1年,观察患者切口瘢痕、包膜挛缩、乳头乳晕感觉、假体位置、感染及伤口愈合情况。结果腋窝组手术操作时间(62.0±4.8)min,与乳晕组[(55.0±3.6)min]比较,差异无统计学意义(P>0.05)。术后观察显示,腋窝组在切口瘢痕、感染、伤口愈合、乳头乳晕感觉方面明显优于乳晕组(P<0.05),能够保持乳腺组织的完整性。结论经腋窝入路行乳腺后间隙假体隆乳术优于经乳晕入路,值得临床推广应用。Objective To observe the clinical effects between axillary approach and periareolar approach in breast augmentation with subglandular placement of prosthesis.Methods Altogether 120 patients with micromastia from June 2006 to June 2012 in our hospital were involved in this study.Anatomical rough surface silica-gel breast implant was applied for breast augmentation with subglandular placement,with 60 patients using axillary approach and the other 60 patients using periareolar approach.The follow-up time was 1year after operation.Results The clinic effects in the axillary approach group were better than those in the periareolar approach group in incision scar,infection,wound healing and nipple areola sense（ P〈0.05）.The integrity of mammary gland in the axillary approach group was maintained.Conclusion Axillary approach is better than periareolar approach in breast augmentation with subglandular placement of prosthesis,and deserves recommendation for clinical application.

关 键 词：腋窝入路 乳晕入路 乳腺后间隙 水滴形假体 隆乳术 

分 类 号：R622[医药卫生—整形外科] R655.8[医药卫生—外科学]