经下皱襞切口假体隆乳术矫正小乳症及乳腺萎缩  

Micromastia and Breast Atrophy Corrected by Implanting Breast Augmentation Through Inferior Fold Incision

作　　者：王谊 杨千里 陈翔宇 陈清湘 邓旭辉 WANG Yi;YANG Qianli;CHEN Xiangyu;CHEN Qingxiang;DENG Xuhui(Department of Aesthetic Plastic Surgery,Changsha Aiste Medical and Aesthetic Hospital,Changsha 410000,Hunan,China)

机构地区：[1]长沙爱思特医疗美容医院美容整形外科,湖南长沙410000

出　　处：《中国美容医学》2024年第6期18-21,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探究经下皱襞切口假体隆乳术矫正小乳症或乳腺萎缩的临床疗效及并发症发生率。方法:选取2021年01月-2022年12月笔者医院收治的97例行经下皱襞切口假体隆乳术的小乳症或乳腺萎缩就医者临床资料进行回顾性分析。所有就医者术中使用超声刀精准剥离双平面腔隙后使用一次性隆乳手术用漏斗置入假体,并予以精细化超减张缝合切口。术后,总结分析临床疗效和并发症。结果:本组97例就医者共置入194只硅凝胶假体,单侧假体平均体积(252.73±3.53)ml,手术时间(99.41±9.35)min,术后引流量(44.00±6.84)ml,术后疼痛VAS评分第1天(3.08±0.83)分、第2天(1.95±0.76)分、出院时(1.62±0.69)分,住院时间(2.51±0.75)d。术后随访6~24个月,所有就医者均表示术后乳房形态饱满、柔软度较佳、切口瘢痕隐藏化。JY-Breast-Q量表评价结果显示,手术增加了就医者自信,提高了就医者的生活质量。结论:经乳房下皱襞切口矫正小乳症或乳腺萎缩具有手术路径短,操作简单、术野直视、创伤小、术后康复快及并发症发生率低的优势。Objective To investigate the clinical efficacy and complications of breast augmentation via inferior raphe incision for micromastia or breast atrophy.Methods The clinical data of 97 patients with micromastia or breast atrophy who underwent breast augmentation via inferior raphe incision in the author's hospital from January 2021 to December 2022 were retrospectively analyzed.All patients underwent breast augmentation via inferior raphe incision using an ultrasonic scalpel to accurately dissect the bi-plane lacuna and implant the prosthesis using a funnel.The clinical efficacy and complications were analyzed.Results A total of 194 silicone gel prostheses were implanted in 97 patients.The average volume of unilateral prosthesis was(252.73±3.53)ml,the operation time was(99.41±9.35)min,and the postoperative drainage volume was(44.00±6.84)ml.The VAS score of postoperative pain was(3.08±0.83)points on the first day,(1.95±0.76)points on the second day,(1.62±0.69)points on discharge,and the length of hospital stay was(2.51±0.75)days.All patients were followed up for 6 to 24 months,and all patients said that the breast shape was full,the softness was good,and the incision scar was hidden.The results of JY-Breast-Q scale showed that surgery increased the self-confidence of patients and improved the quality of life of patients.Conclusion The inframammary fold approach for the correction of micromastia or breast atrophy has the advantages of short surgical path,simple operation,direct operationfield,minimal trauma,rapid postoperative recovery and low incidence of complications.

关 键 词：假体隆乳术 下皱襞 小乳症 乳腺萎缩 并发症 

分 类 号：R622[医药卫生—整形外科]