内窥镜辅助假体置入矫正乳房下垂  

Correction of breast ptosis by augmentation with silicone gel implants under endoscope

作　　者：陈刚[1] 黄金龙[1] 王金明[1] 刘宁[1] 黄文亭[1] 

机构地区：[1]南京中医药大学附属江苏省中医院整形美容科,江苏南京210029

出　　处：《中国美容整形外科杂志》2016年第4期215-217,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探讨通过内窥镜辅助假体置入在胸肌筋膜下或双平面层次（部分胸大肌下、乳腺下）纠正乳房下垂的可行性。方法本组患者共18例，均为轻度乳房下垂，经腋下切口，通过内窥镜辅助将硅凝胶乳房假体置于胸肌筋膜下或双平面层次。结果所有患者术后获随访3～18个月，平均6．5个月。乳房外形良好，下垂基本矫正，未见假体包膜挛缩，无血肿、感染等并发症发生。结论内窥镜技术与双平面胸肌筋膜下隆乳技术相结合，通过腋窝切口使乳房表面不遗留瘢痕，在降低并发症的同时提高了手术效果，是矫正乳房下垂的一种较好方法。Objective To investigate the feasibility of correcting breast ptosis by dual-plane augmentation （ retromammary and partial retropectoral pocket） or augmentation under the pectoralis subfascial plane with the assistance of endoscope. Methods Through the axillary incision, 18 patients with mild breast ptosis were treated by silicone gel implants insertion under pectoralis subfascial plane or dual-plane with the assistance of endoscope. Results The follow-up period was 3 to 18 months （mean： 6.5 months）. All the patients showed correction of ptosis and aesthetically natural appearance without any complications, to include capsular contracture, hematoma, and infection. Conclusion Breast augmentation using silicone gel implant on the dual-plane or under pectoralis subfascial plane, can be performed through the axillary incison with the assistance of endoscopy. This technique can optimize the benefits like correction of breast ptosis, and avoid the disadvantages, like incision scar on the breast.

关 键 词：乳房下垂 双平面 胸肌筋膜后间隙 隆乳术 内窥镜 

分 类 号：R655.8[医药卫生—外科学]