内窥镜辅助腋窝入路Ⅱ、Ⅲ型双平面假体隆乳术的改进效果  

Improvementoftypes Ⅱ and Ⅲ biplane breast augmentation with endoscope-assisted axillary approach

作　　者：吕京陵 柴筠[2] 王涛[3] Lyu Jinling;Chai Jun;Wang Tao(Shanghai Yuemu Jiarong Medical Beauty Hospital,Shanghai 200002,China;Department of Plastic Surgery,Suzhou Hospital Nanjing Medical University,Nanjing 215008,China;Department of Plastic Surgery,Ninth People's Hospital Shanghai Jiaotong University,Shanghai 200011,China)

机构地区：[1]上海悦目佳容医疗美容门诊部,上海200002 [2]南京医科大学附属苏州医院整形外科,南京215008 [3]上海交通大学附属第九人民医院整复外科,上海200011

出　　处：《中华医学美学美容杂志》2023年第3期178-181,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨内窥镜辅助Ⅱ、Ⅲ型双平面技术在腋窝入路假体隆乳术的优势及重要性。方法 2018年10月至2020年10月, 上海悦目佳容医疗美容门诊要求行隆乳术女性患者49例, 年龄18~45岁, 平均38.7岁。在乳房下皱襞上方离断胸大肌后, 用自制的反向剥离器将胸大肌断端上方乳腺组织从胸大肌上松解分离, 形成Ⅱ、Ⅲ型双平面。结果 49例患者随访13~24个月, 其中31例先天性乳房发育不良和哺乳后乳腺萎缩患者, 术后均获得较理想的乳房外形和手感, 尤其是乳房下极的饱满度, 未见假体包膜挛缩, 无血肿、感染等并发症发生。18例伴有下极缩窄和(或)下垂乳房得到基本矫正。结论自制反向胸大肌剥离器改变手术操作的力学方向, 轻松分离松解胸大肌, 形成Ⅱ、Ⅲ型双平面隆乳效果, 可改善乳房下极饱满度, 增加乳房曲线丰盈度, 达到符合美学比例的乳房效果。Objective To discuss the advantages and importance of endoscope assisted type Ⅱ and type Ⅲ biplane technique in axillary augmentation mammoplasty,and to summarize the operation points and improvement.Methods There were 49 patients enrolled in our study.After the posterior space of pectoralis major was formed and the pectoralis major was severed above the lower breast fold,the breast tissue above the broken end of pectoralis major was released and separated from pectoralis major by a self-made reverse stripper to form type type Ⅱ and type Ⅲ biplane.Results All the patients were followed up for 13-24 months.All cases got ideal breast shape and feeling,especially the plump-ness of the lower breast pole.There was no capsular contracture,hematoma,infection and other com-plications.The breast with lower pole narrowing and/or sagging was basically corrected.Conclusions The application of self-made reverse pectoralis major stripper can change the mechanical direction of the operation,easily separate and release the front of pectoralis major muscle,and form the exact type Ⅱ biplane,or even type Ⅲ biplane breast augmentation effect.It can further improve the stretching of the lower breast fullness,increase the fullness of the breast curve,and achieve the breast effect of aes-thetic.

关 键 词：乳房成形术 假体和植入物 腋窝切口 双平面法 反向剥离器 

分 类 号：R655.8[医药卫生—外科学]