三维扫描技术评估双侧乳房缩小术中乳房对称性的研究  

Application of three-dimensional scanning technology in evaluating breast symmetry in reduction mammaplasty

作　　者：穆大力 张晓宇 徐伯扬 Mu Dali;Zhang Xiaoyu;Xu Boyang(Department of Aesthetic and Reconstructive Breast Surgery,Plastic Surgery Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100144,China)

机构地区：[1]中国医学科学院,北京协和医学院,整形外科医院乳房整形美容中心,北京100144

出　　处：《中华医学美学美容杂志》2022年第4期259-263,共5页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的评估乳房缩小整形术双侧乳房对称性的美学效果,提出一种基于手持式三维扫描仪的评估方法,实现乳房缩小术后理想的美学效果。方法2018年6月至2019年6月,中国医学科学院整形外科医院乳房整形美容中心要求行双侧乳房缩小术女性患者56例,年龄18~56岁,平均34岁。观察组27例术中行三维扫描,依据分析结果在乳房塑形过程中进行对称性调整;对照组29例术中未行三维扫描。术后3个月获得两组患者三维扫描数据,客观评估乳房对称性。6位第三方医师根据患者匿名照片从乳房对称性5个维度评估两组患者术前和术后乳房的对称性。结果观察组双侧乳房体积差异明显小于对照组[35.26(20.01,55.61)比110.02(43.52,186.30)cm^(3),U=221.00,P=0.001]。评估者报告结果显示,观察组中乳房缩小术后衡量乳房对称性的5个方面均较术前有明显改善(P<0.001),与对照组比,差异有统计学意义(P<0.05)。结论术中三维扫描技术提供可靠方法协助调整双侧乳房对称性,提高了乳房缩小整形术后美学效果。Objective To evaluate the aesthetic results of bilateral breast symmetry after reduction mammaplasty,we proposed a handheld 3D scanner-based evaluation method to achieve the desired aesthetic effects.Methods From June 2018 to June 2019,a total of 56 female patients with an average age of 34 years(18 to 56 years)requested for bilateral breast reduction in the Department of Aesthetic and Reconstructive Breast Surgery,Plastic Surgery Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College.Three-dimensional scans were performed intraoperatively in 27 cases in study group,and symmetry adjustments were made during breast contouring based on the analysis results;in the control group,a total of 29 patients did not undergo three-dimensional scans intraoperatively.Three-dimensional scans were obtained from both groups 3 months after surgery to objectively assess breast symmetry.Six third-party physicians scored the two groups based on anonymous photographs of the patients in 5 dimensions of breast symmetry to assess the symmetry of the pre-and post-operative bilateral breasts.Results The difference in breast volume in the study group was significantly smaller bilaterally than in the control group[35.26(20.01,55.61)vs 110.02(43.52,186.30)cm^(3),U=221.00,P=0.001].The results reported by the evaluators showed that all five aspects of breast symmetry measured by breast reduction were significantly improved in the study group compared to the preoperative period(P<0.001)and were all statistically superior to the control group(P<0.05).Conclusions Intraoperative three-dimensional scanning technology presents a dependable method to facilitate in optimizing bilateral breast symmetry,which in turn provides an opportunity to enhance the aesthetic outcome after reduction mammoplasty.

关 键 词：乳房成形术 乳房缩小整形术 三维扫描技术 乳房对称性 

分 类 号：R655.8[医药卫生—外科学]