内窥镜辅助下原腋窝切口入路乳房假体置换修复术远期疗效评价  

Evaluation of Long-Term Effect of Breast Implants Replacement Through Original Axillary Incision Assisted by Endoscope

作　　者：林泉 莫明添 李俊明 梁海洁 陆红英 黎冻[2] LIN Quan;MO Mingtian;LI Junming;LIANG Haijie;LU Hongying;LI Dong(Department of Cosmetic Surgery,Guangxi Aisite Plastic Surgery Hospital,Nanning 530000,Guangxi,China;Department of Cosmetic and Plastic Surgery,the Second Affiliated Hospital of Guangxi Medical University,Nanning 530002,Guangxi,China)

机构地区：[1]广西爱思特整形外科医院美容外科,广西南宁530000 [2]广西医科大学第二附属医院美容整形外科,广西南宁530002

出　　处：《中国美容医学》2023年第4期4-7,共4页Chinese Journal of Aesthetic Medicine

基　　金：广西壮族自治区卫生健康委课题(编号:Z20200933)。

摘　　要：目的:对内窥镜辅助下原腋窝切口入路乳房假体置换修复术就医者的术后效果进行长期跟踪评估,探讨该术式的临床价值。方法:选择2015年3月-2020年3月完成乳房假体置换修复术的64例就医者为研究对象,将采用内窥镜辅助下原腋窝切口入路乳房假体置换修复术的31例就医者归入观察组;将采用乳晕切口入路直视下行乳房假体置换修复术的33例就医者归入对照组。术后两次随访时(随访时间最短为12个月、最长为5年11个月,两次随访间隔6个月),运用乳房整形者生活质量测定量表(BREAST-Questionnaire,BREAST-Q)分别对两组就医者进行评分,比较两组就医者疗效。结果:随访后BREAST-Q量表得分观察组评分为(93.6±5.3)分,对照组评分为(81.3±8.4)分,两组评分比较差异有统计学意义(t=7.71,P<0.05)。结论:内窥镜辅助下原腋窝切口入路乳房假体置换修复术创伤较小,不增加新切口瘢痕,就医者满意度较高,值得临床推广应用。Objective To evaluate the long-term postoperative effect of breast prosthesis replacement and repair through the original axillary incision assisted by endoscope,and to explore the clinical value of this operation.Methods A total of 64 patients who underwent breast prosthesis replacement and repair surgery from March 2015 to March 2020 were selected as the research objects.Thirty-one patients who underwent breast prosthesis replacement and repair surgery through the original axillary incision assisted by endoscope were classified into the observation group.Thirty-three patients who underwent breast prosthesis replacement under direct vision through areola incision during the same period were included in the control group.The BREAST-Questionnaire(BREAST-Q)was used to evaluate the quality of life of patients in the two groups at the two follow-up visits(the shortest follow-up time was 12 months,the longest follow-up time was 5 years and 11 months,the interval between the two follow-up visits was 6 months),and the curative effect was compared between the two groups.Results After the follow-up,the score of BREAST-Q scale was(93.6±5.3)points in the observation group and(81.3±8.4)points in the control group,and the difference was statistically significant(t=7.71,P<0.05).Conclusion Breast prosthesis replacement and repair through the original axillary incision approach assisted by endoscope has less trauma,does not increase new incision scars,and has high patient satisfaction,which is worthy of clinical application.

关 键 词：内窥镜辅助 原腋窝切口入路 假体置换术 乳房整形者生活质量测定量表 

分 类 号：R622[医药卫生—整形外科]