优化手术工具行双平面假体隆乳术的效果  

Effects of the optimization and upgrading of auxiliary tools on transaxillary dual-plane breast augmentation

作　　者：徐海倩[1] 王辉 陈鑫玥[1] 陈依达 田媛[1] 王馨悦 郝立君[1] Xu Haiqian;Wang Hui;Chen Xinyue;Chen Yida;Tian Yuan;Wang Xinyue;Hao Lijun(Cosmetic and Plastic Center,the First Affiliated Hospital of Harbin Medical University,Harbin 150001,China;Department of Plastic Surgery,Shanghai Pudong New District Gongli Hospital,Shanghai 200135,China)

机构地区：[1]哈尔滨医科大学附属第一医院整形美容中心,哈尔滨150001 [2]上海市浦东新区公利医院整形外科,上海200135

出　　处：《中华医学美学美容杂志》2022年第1期52-55,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的:通过优化手术辅助工具经腋窝入路行双平面假体隆乳术,改善手术效率及整体效果。方法:2019年1月至2021年5月,哈尔滨医科大学附属第一医院整形美容中心收治需行假体隆乳术女性患者130例,年龄23~41(32±8)岁,分为高配组63例,标配组67例。分别对手术时间、术中出血量、术后24 h引流量、术后视觉模拟(VAS)疼痛评分及满意度等进行统计。结果:高配组比标配组:手术时间(78.6±12.2)min比(93.1±12.1)min(t=15.73,P<0.05);术中出血量(3.1±1.0)ml比(14.4±3.5)ml(t=13.83,P<0.05);术后24 h引流量(37.2±8.2)ml比(61.4±10.9)ml(t=20.82,P<0.05);术后VAS疼痛评分6.1±1.7比7.5±1.6(t=8.57,P<0.05)。术后6个月,患者满意度评分97.1±1.6比95.6±2.0(t=5.58,P<0.001)。随访中未发现包膜挛缩、血肿、感染、双泡畸形等严重并发症。结论:手术中用超声刀配合假体递送袋对内镜下经腋路双平面隆乳术的优化升级后,手术效率、安全性、效果、满意度都有提高,值得临床应用。Objective To improve the multiple-link operation efficiency,effect and satisfaction of transaxillary dual-plane breast augmentation by optimizing and upgrading the configuration of auxiliary tools.Methods From January 2019 to May 2021,breast augmentation was performed in 130 female patients(aged 32±8 years)in the Cosmetic and Plastic Center of the First Affiliated Hospital of Harbin Medical University.The study was conducted among 63 patients who were eligible for the criteria of high configuration surgery.67 patients underwent standard configuration surgery.The average operation time,intraoperative blood loss,drainage volume(24 hours after operation),postoperative visual analog scale(VAS)pain score and satisfaction were statistically analyzed.Results The data of high configuration method and standard configuration method were compared as follows:average operation time was(78.6±12.2)min/(93.1±12.1)min(t=15.73,P<0.05);the average intraoperative blood loss was(3.1±1.0)ml/(14.4±3.5)ml(t=13.83,P<0.05);the drainage volume(24 hours after operation)was(37.2±8.2)ml/(61.4±10.9)ml(t=20.82,P<0.05);the pain score on the first day after surgery was(6.1±1.7)points/(7.5±1.6)points(t=8.57,P<0.05).The overall satisfaction rate was 97.1±1.6/95.6±2.0(t=5.58,P>0.001),at 6 months after operation.No severe complications were found during the follow-up period,such as capsular contracture,hematoma,infection and double bubble deformity.Conclusions The use of ultrasonic knife with delivery bag is an effective optimization and upgrade of the endoscopic assisted transaxillary dual plane breast augmentation.The advantages of this method are obvious,highly efficient,safe,effective and satisfactory.It is worthy of clinical application and promotion.

关 键 词：乳房成形术 内镜 双平面隆乳术 超声刀 一次性假体递送袋 

分 类 号：R655.8[医药卫生—外科学]