不同入路行假体隆乳术的效果比较  

Comparison of clinical effects between different procedures for breast augmentation

作　　者：王少甫 肖征刚 Wang Shaofu;Xiao Zhenggang(Department of Plastic Surgery,Yamei Medical Cosmetology Hospital,Changsha 410011,China)

机构地区：[1]长沙雅美医疗美容医院美容外科,410011

出　　处：《中华医学美学美容杂志》2021年第1期11-13,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的比较不同入路下假体隆乳术的术后效果。方法2016年1月至2018年1月,长沙雅美医疗美容医院美容外科收治隆乳患者211例(年龄18~52岁,平均)。根据手术入路将患者分为腋窝入路组、乳晕入路组、乳房下皱襞入路组,对3个组患者术后疼痛、切口瘢痕、引流量及其他并发症进行观察。结果乳晕入路组与乳房下皱襞入路组患者术后5 d的视觉模拟量表评分明显优于腋窝入路组(F=70.93,P<0.05),且术后引流量低于腋窝入路组,3个组患者术后瘢痕评分差异无统计学意义(P>0.05),乳房下皱襞组乳头乳晕感觉障碍发生少。结论乳房下皱襞假体隆乳具有切口隐蔽、手术时间短、直视操作、疼痛较轻、手术损伤小、术后并发症发生率低等优点,值得临床应用。Objective To compare the clinical effects between axillary approach,periareolar approach and inframammary fold approach in breast augmentation.Methods Two hundred and eleven patients in our department from Jan.2016 to Jan.2018 were involved in this study.According to the surgical approach,the patients were divided into the axillary approach group,periareolar approach group and inframammary fold approach group.Postoperative pain,incision scar,drainage fluid and several complications were observed in three groups.Results Postoperative VAS score of patients in inframammary fold approach and periareolar approach group was lower than that in the axillary approach group(F=70.93,P<0.05),and postoperative drainage fluid was lower than in the axillary approach group.No diffrences were found in postoperative scar score among the three group(P>0.05),and the nipple areola sensory disorder in the inframammary fold approach group was less.Conclusions Breast augmentation of inframammary fold approach has the advantages of relatively hidden incision,short surgical approach,direct vision operation,mild pain,less surgical injury and low postoperative complications.It is worthy of being promoted.

关 键 词：乳房 隆乳术 腋窝入路 乳晕入路 乳房下皱襞入路 术后并发症 

分 类 号：R655.8[医药卫生—外科学]