内窥镜在假体隆乳术后包膜挛缩修复中的应用  

Application of Endoscope in Repairing Capsular Contracture after Augmentation Mammoplasty

作　　者：徐刚强 杨国宝 XU Gang-qiang;YANG Guo-bao(Department of Cosmetic Surgery,Zhengzhou Ewha Rain Medical Beauty Hospital,Zhengzhou 450008,Henan,China)

机构地区：[1]郑州梨花雨医疗美容医院美容外科

出　　处：《中国美容医学》2019年第9期60-62,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨内窥镜操作下修复假体隆乳术后包膜挛缩的优缺点及可行性。方法:自2013年至今,应用内窥镜修复假体隆乳术后包膜挛缩16例,13例为单侧,3例为双侧包膜挛缩并伴左右乳房不对称畸形。结果:16例患者术后随访3~12个月,1例包膜挛缩复发,其余病例乳房形态良好,手感及动感自然。结论:内窥镜系统操作下修复包膜挛缩,采用其微创技术通过腋窝切口,手术在可视下进行,挛缩包膜组织剥离切除完善,假体放置腔隙分离精确,创伤小,止血彻底,避免了传统手术方法经乳晕或下皱襞切除挛缩包膜的再次创伤,术后并发症少,恢复快。Objective To investigate the advantages, disadvantages and feasibility of endoscopic repair of capsular contracture after augmentation mammoplasty. Methods Since 2013, 16 cases of capsular contracture after augmentation mammoplasty were treated with endoscope, 13 cases were unilateral and 3 cases were bilateral capsular contracture accompanied by asymmetric deformity of the left and right breasts. Results 16 patients were followed up for 3-12 months after operation, one case had recurrence of capsular contracture, the rest of the cases had good breast morphology, feel and dynamic nature. Conclusion Endoscopic system operation to repair the membrane contracture, the use of its minimally invasive technology through the armpit incision, surgery in the visual, contracture coating tissue stripping resection perfect, prosthesis placement cavity gap separation accurate, small trauma, complete hemostasis, to avoid the traditional surgical methods through the areola or lower folds resection contracture capsular re-trauma, less postoperative complications, recovery quickly.

关 键 词：假体隆乳术 腋窝切口 包膜挛缩 内窥镜技术 双平面层次 

分 类 号：R622[医药卫生—整形外科]