内窥镜腋窝入路假体隆乳术后切口瘢痕患者恢复情况  

Incision scar recovery assessment of patients with transaxillary dual-plane breast augmentation assisted with endoscopy

作　　者：安娟 林怀安 张艺凡[2] 胡佳骅 于扬[3] 孙佳铭 钟钊豪 郑丹宁[2] 余力 An Juan;Lin Huaian;Zhang Yifan;Hu Jiahua;Yu Yang;Sun Jiaming;Zhong Zhaohao;Zheng Danning;YuLi(Department of Plastic Surgery,Dermatology Hospital of Southern Medical University,Guangzhou 510000,China;Department of Plastic and Reconstructive Surgery,Shanghai Ninth People's Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200oll,China;Department of Plastic Surgery,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)

机构地区：[1]南方医科大学皮肤病医院整形美容外科,广州510000 [2]上海交通大学医学院附属第九人民医院整复外科,上海200000 [3]新疆医科大学第一附属医院整形科,乌鲁木齐830000

出　　处：《中华医学美学美容杂志》2023年第3期167-170,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的通过不同瘢痕评估方法了解患者隆乳术后腋下瘢痕的恢复情况。方法 2014年8月至2016年11月, 上海交通大学医学院附属第九人民医院整复外科对实施内窥镜辅助下, 腋窝入路Ⅰ型双平面假体隆乳术的腋下手术切口瘢痕30例女性患者(年龄20~50岁, 平均32岁), 以温哥华瘢痕评分量表(VSS)、视觉评估量表(VAS)、瘢痕满意度问卷评估患者术后瘢痕情况。结果患者左侧腋下瘢痕VAS得分为1.0(0~8.0)分。右侧腋下瘢痕得分为1.0(0~8.3)分。双侧共48个瘢痕得分0~2分, 占80.0%。左侧腋下瘢痕VSS得分为0.8(0~11.6)分。右侧腋下瘢痕VSS得分为1.2(0~11.3)分。双侧共46个瘢痕得分0~2分, 占76.7%。VAS评分结果与VSS评分结果比较, 差异有统计学意义(P<0.001)。瘢痕满意度问卷调查中, 80.0%患者认为瘢痕隐蔽。结论患者假体隆乳术腋下瘢痕恢复较好, 满意度高。VAS是评估腋下瘢痕恢复情况的实用工具。Objective To evaluate incision scars of transaxillary breast augmentation by differ-ent methods of scar assessment.Methods A retrospective study was carried out on 30 patients(age range 20 to 50 years,with mean age of 32 years)who underwent endoscopic assisted transaxillary type I dual plane breast implant augmentation by a same surgeon from August 2014 to November 2016.Scars were estimated by 3 methods which included Vancouver Scar Scale(VSS),Visual Assessment Scale(VAS)and patients questionnaire.Results VAS score for left side scars ranged from O to 8 and the median was l.VAS score for right side scars ranged from O to 8.3 and the median was 1.A total of 48 scars were scored in the 0-2 point range,representing 80%of the 60 total.VSS score for left side scars ranged from 0 to l1.6 and the median was 0.8.VSS score for right side scars ranged from 0 to 11.3 and the median was 1.2.A total of 46 scars were scored in the 0-2 point range,repre-senting 76.7%of the total 60 breats.The scores between VSS and VAS had significant statistical differences(P<0.001).80.0%of our patients regarded scars as unconspicuous or basically invisible in our questionnaire.Conclusions The majority of transaxillary incision scars recover in favorable status with high patients satisfactory rate.VAS is a practical tool for evaluating transaxillary incision scars.The VSS score is not equivalent to the VAS score when grading scars only by photos.

关 键 词：瘢痕评估 内窥镜 隆乳术 腋窝入路 

分 类 号：R655.8[医药卫生—外科学]