改良箭式皮瓣乳头再造术的临床疗效观察  

The clinical effect of modified arrow flap for nipple reconstruction

作　　者：韩玮 徐一文 王崇高 崔梦迪 陈绪[1] 陆冬晨 姜孝燕 鲁凯 Han Wei;Xu Yiwen;Wang Chonggao;Cui Mengdi;Chen Xu;Lu Dongchen;Jiang Xiaoyan;Lu Kai(Department of Thyroid and Breast Surgery,Nanjing Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Nanjing 210000,China;Department of Operation Room,Nanjing Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Nanjing 210000,China)

机构地区：[1]南京中医药大学附属南京中医院甲状腺乳腺外科,210000 [2]南京中医药大学附属南京中医院手术室,210000

出　　处：《中华内分泌外科杂志》2020年第2期106-109,共4页Chinese Journal of Endocrine Surgery

基　　金：2019年国家自然科学基金-青年科学基金项目(81904205)。

摘　　要：目的探讨改良箭式皮瓣乳头再造术的临床疗效。方法收集2018年1月至2019年10月在南京市中医院甲乳外科住院接受改良箭式皮瓣乳头再造的患者10例,对再造乳头回缩率、患者满意度及局部皮瓣并发症发生率进行评价。结果10例患者手术时间为(15.10±1.52)min,范围为13~18 min。所有患者随访时间为(14.60±1.07)个月,范围为3~24个月。乳头高度回缩率为(28.53±3.02)%,范围为23.5%~33.2%。乳头直径回缩率为(8.92±1.05)%,范围为7.1%~10.5%。患者满意度为(97.90±1.60)%,范围为96%~100%。10例患者均未出现切口愈合不良、切口裂开、皮瓣坏死等并发症。结论改良箭头式皮瓣设计简便,操作简单,疗效满意,术后并发症发生率低。Objective To investigate the clinical effect of modified arrow flap for nipple reconstruction.Methods From Jan.2018 to Oct.2019,10 patients in Nanjing Hospital of Traditional Chinese Medicine who received the modified arrow flap for nipple reconstruction were collected.The rate of nipple retraction,patient satisfaction and the incidence of local flap complications were evaluated.Results The operation time of 10 patients was 13-18 minutes,and the average operation time was(15.10±1.52)minutes.All patients were followed up for 3-24 months,with an average follow-up time of(14.60±1.07)months.The retraction rate of nipple height was 23.5%-33.2%,the average retraction rate of nipple height was(28.53±3.02)%,the diameter retraction rate of nipple was 7.1%-10.5%,and the average diameter retraction rate of nipple was(8.92±1.05)%.The patients’satisfaction was 96%-100%,with an average of(97.9±1.60)%.None of the 10 patients had complications such as bad wound healing,incision dehiscence or flap necrosis.Conclusion The design of the improved arrow flap is simple,the operation is simple,the curative effect is satisfactory,and the incidence of postoperative complications is low.

关 键 词：改良箭式皮瓣 乳头乳晕复合体 乳头再造 

分 类 号：R655.8[医药卫生—外科学] R737.9[医药卫生—临床医学]