内镜辅助下乳腺良性病变切除同期行隆乳术的临床应用  

Application of Simultaneous Breast Augmentation after the Resection of the Benign Breast Lesions under Endoscope

作　　者：陈静[1] 王少强[1] CHEN Jing;WANG Shaoqiang(Department of Cardiothoracic Surgery,155th Central Hospital of PLA,Kaifeng 475003,China.)

机构地区：[1]中国人民解放军第一五五中心医院整形外科,河南省开封市475003

出　　处：《组织工程与重建外科杂志》2018年第5期266-268,共3页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：目的探讨内镜辅助下乳腺良性病变切除同期行乳腺后间隙隆乳术的可行性。方法 2013年5月至2017年6月,行手术治疗的合并乳腺良性病变的隆乳患者43例。根据患者情况,标记乳腺病损的切除范围,设计拟置入假体所需剥离的范围,选择适宜假体。经腋窝入路在内镜辅助下建立乳腺后间隙,应用穿刺引导技术定位乳腺病损并切除,然后置入假体。术后留置负压引流3～6 d。结果本组均顺利完成手术,手术时间(113.6±20.4) min,术中出血(36.6±4.8) m L,术后引流(3.4±1.2) d,单侧乳腺引流量为(216.5±21.7) mL。所有患者术后随访12个月,均无乳头、乳晕感觉异常。2例出现局部腺体轻度凹陷,1例出现BakerⅡ级包膜挛缩。其余患者乳腺外形丰满圆润,手感柔软,活动度好,无假体移位、双侧不对称及双峰乳形等并发症。结论对于合并乳腺良性病变的隆乳患者,内镜辅助下乳腺良性病变切除同期行隆乳术安全可行。Objective To explore the feasibility of simultaneous breast augmentation after the resection of the benign breast lesions under endoscope. Methods From May 2013 to June 2017, 43 patients with benign breast lesions were treated. According to the patient＇s condition, the extent of breast lesion removal was marked, the range of the needed dissection to implant the prosthesis was designed, and the suitable prosthesis was chosed. The retromammary space were established under endoscope through transaxillary incision. Benign breast lesions were located and removed by puncture guiding technique. Silicone implants were placed through the axillary incision. The vacuum drainage was performed for 3 to 6 days. Results All operations were successfully completed. The operative time was （113.6±20.4） min, blood loss was （36.6±4.8） mL, postoperative drainage was used for （3.4±1.2） days, unilateral breast drainage was （216.5±21.7） mL. Patients were followed up for 12 months, no significant nipple and areola sensory loss were observed. Two cases appeared mild local dent on the surface of the breast, 1 case appeared capsular contracture of Baker Ⅱ level. The breast of the remaining patients was plump and round in shape with soft hand-feel and good activity. No prosthesis displacement, bimodal breast shape and other complications were observed. Conclusion For patients with benign breast lesions, simultaneous breast augmentation after the resection of the breast lesions under endoscope is safe and feasible.

关 键 词：内窥镜 隆乳术 乳腺良性病变 腋窝切口 

分 类 号：R622[医药卫生—整形外科]