不同入路双平面法假体隆乳术后乳房形态变化对比研究  

A comparative study on breast morphological changes after dual-plane augmentation through different approaches

作　　者：曾立[1] 伍艳群[1] 林福传 洪伟晋 罗盛康[1] ZENG Li;WU Yanqun;LIN Fuchuan;HONG Weijin;LUO Shengkang(Department of Plastic Surgery,Guangdong Second Provincial Central Hospital,Guangzhou 510317,China)

机构地区：[1]广东省第二人民医院整形外科,广东广州510317

出　　处：《中国美容整形外科杂志》2022年第6期324-327,共4页Chinese Journal of Aesthetic and Plastic Surgery

基　　金：广州市基础研究计划市校(院)联合资助项目。

摘　　要：目的对腋窝、乳晕、下皱襞3种切口入路双平面隆乳术后形态变化进行对比研究。方法自2018年2月至2019年12月,广东省第二人民医院整形外科对50例初次行双平面法假体隆乳术的患者,按手术入路方式不同分为3组:腋窝入路组(20例)、下皱襞入路组(10例)、乳晕入路组(20例)。采用Vectra 3D扫描系统对所有患者乳房进行三维扫描,采集术前及术后6个月的乳房三维图像,对三维模型采用Geomagic Studio 19.0软件进行分析。结果3组手术前后胸骨上切迹至乳头的直线距离(SN-N)及乳头至胸骨正中线的距离(N-M)变化,差异无统计学意义(P>0.05);腋窝入路组术后与术前比较,差异有统计学意义(P<0.05);下皱襞入路组乳晕入路组术后与术前比较,差异无统计学意义(P>0.05)。术后胸骨上切迹在乳房下皱襞最低点水平的距离(SN-LIMF)变化,下皱襞入路组术后与术前比较,差异有统计学意义(P<0.05);腋窝入路组、乳晕入路组与术前比较,差异无统计学意义(P>0.05)。3组术后乳房总体积,乳头水平面上、下体积均较术前增加;各组术后乳房总体积均小于预期体积,差异有统计学意义(P<0.05);乳头水平面以上体积百分比较术前减少,而乳头水平面以下体积百分比增加,3组术前、术后体积及其百分比的变化差异均无统计学意义(P>0.05)。结论腋窝、乳晕、下皱襞3种入路双平面隆乳术均可使乳房外形更完美、自然,术后总体效果差异不大。Objective To compare and study the breast morphological changes after dual-plane augmentation through different approaches.Methods Fifty patients underwent primary breast augmentation from February 2018 to December 2019 were divided into3 groups.There were 20 patients in the trans-axillary approach group,10 patients in the inframammary fold(IMF)approach group and20 patients in the periareolar approach group.All patients were asked to take 3D images by Vectra 3D system before and 6 months after surgery.The 3D images were analyzed by Geomagic Studio 19.0 software.Results There was no statistically significant difference of the straight-line distance from suprasternal notch to nipple(SN-N)and the distance from nipple to the midline of sternum(N-M)before and after surgery among 3 groups(P>0.05).There was statistically significant difference between preoperative and postoperative SN-N and N-M in the trans-axillary approach group(P<0.05).There was no statistically significant difference in the IMF approach group and periareola approach group(P>0.05).In the IMF approach group,the distance of suprasternal notch at the level of the lowest point of the inframammary fold(SN-LIMF)was changed after surgery(P<0.05).There was no statistically significant difference in the trans-axillary approach group and periareolar approach group(P>0.05).The total breast volume in 3 groups increased after surgery.The total breast volume in each group after surgery was smaller than the expected volume(P<0.05).The volume percentage decreased above the level of nipple,while increased below the level of nipple after surgery.The difference in preoperative and postoperative volume and percentage among 3 groups was not statistically significant(P>0.05).Conclusion The dual-plane augmentation through 3 approaches can achieve good and nature appearance of breast.The difference of breast morphological changes among 3 groups is low.

关 键 词：隆乳术 三维扫描 乳晕 腋窝 下皱襞 双平面 

分 类 号：R655.8[医药卫生—外科学]