数字化内窥镜松解隆乳术后包膜挛缩20例  

Digital endoscopic release after breast augmentation capsular contracture (20 cases)

作　　者：李京[1] 龚连生[1] 刘磊[2] 赵黎花[2] 章铧予 

机构地区：[1]中南大学湘雅医院,湖南长沙410008 [2]广西中医药大学附属瑞康医院,广西南宁530011

出　　处：《中国内镜杂志》2016年第1期93-95,共3页China Journal of Endoscopy

摘　　要：目的探讨隆乳术后数字化内窥镜松解包膜挛缩的临床体会和手术方法。方法该科室从2013年6月-2014年12月应用内窥镜经腋下切口松解隆乳术后包膜挛缩20例,观察其手术情况。结果 20例患者均顺利完成手术,术后门诊随访时间分别为3个月、6个月和1年,患者包膜挛缩完全改善,乳房外形形态良好,手感柔软,活动度好,无明显假体移位和双峰畸形,无乳头乳晕的感觉缺失。结论数字化内窥镜下的包膜松解,它可以通过设备的引导,放大视野,定位准确,止血彻底,利用精确的解剖分离,实现直视下的包膜挛缩完全松解,减少了盲视下手术的众多并发症,值得临床推广。Objective To investigate the complications after breast augmentation with endoscope pine clinical experience and operation method of capsular contracture. Methods From 2013 June to 2014 December from the application of endoscopic transaxillary incision 20 cases of capsular contracture release long after breast conservative surgery. Results 20 patients were successfully completed the operation, postoperative follow-up time was 3 months,6 months, 1 year, patients with capsular contracture improve breast shape, good appearance, soft, good activity, no obvious deformity prosthesis displacement, without loss of sensation of nipple and areola. Conclusion Release capsule endoscope under, it can be a boot device, expand their horizons, accurate positioning, complete hemostasis, the use of precise dissection, under direct vision to achieve complete capsular contracture release, reducing blind surgeries many complications, worthy of promotion.

关 键 词：包膜挛缩 内窥镜 隆乳 

分 类 号：R655.8[医药卫生—外科学]