腋窝入路内窥镜辅助双平面隆乳术的安全性和效果  

Safety and effectiveness of dual-plane breast augmentation via eadoscopic assited axillary approach

作　　者：兰鸿波 彭莉娜 穆馥婷 王景双 谢坤 严文辉 Lan Hongbo;Peng Lina;Mu Futing;Wang Jingshuang;Xie Kun;Yan Wenhui(Department of Thyroid and Breast Surgery,Shenzhen Longhua Maternal and Child Health Hospital,Shenzhen 518000,China;Chongqing Huamei Plastic Surgery Hospital,Chongqing 400015,China)

机构地区：[1]深圳市龙华区妇幼保健院甲乳外科,深圳518000 [2]重庆华美整形外科医院,重庆400015

出　　处：《中华医学美学美容杂志》2024年第4期329-332,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的评估腋窝入路内窥镜辅助双平面隆乳术的安全性和效果。方法回顾性纳入2019年3月至2021年3月深圳市龙华区妇幼保健院甲乳外科(15例)和重庆华美医院(200例)完成内窥镜辅助下腋窝入路双平面双侧隆乳术女性患者215例, 年龄22~45(32.32±5.67)岁。42例采用内窥镜辅助下腋窝入路双平面隆乳术采用钝性和锐性相结合的方式分离腔隙, 173例采用锐性方式分离腔隙。术后随访6~18个月, 对假体隆乳相关的并发症进行评估。结果 215例患者均未出现伤口感染、术后血肿形成、皮肤烫伤等。远期并发症有Ⅰ级包膜挛缩1例(0.46%)、Ⅲ级包膜挛缩1例(0.46%)、乳头乳晕感觉障碍或减退12例(5.58%)。1例Ⅲ级包膜挛缩患者行右侧包膜切除术, 重置假体。结论腋窝入路内窥镜辅助下双平面隆乳术安全性较高, 效果比较满意, 值得临床应用。Objective To evaluate the safety and effectiveness of dual-plane breast augmentation via endoscopic assisted axillary approach.Methods A retrospective analysis was conducted on 215 female patients who underwent dual-plane breast augmentation via endoscopic assisted axillary approach from March 2019 to March 2021(15 cases at Longhua Maternal and Child Health Hospital and 200 cases at Chongqing Huamei Hospital).The patient's age was 22-45(32.32±5.67)years.42 cases underwent dual-plane breast augmentation via endoscopic assisted axillary approach,by using a combination of blunt and sharp methods to separate the cavity;while 173 cases used sharp methods to separate cavities.The complications related to breast augmentation were evaluated during a follow-up period of 6 to 18 months.Results None of the 215 patients experienced wound infection,postoperative hematoma formation,or skin burns.The long-term complications included 1 case(0.46%)of grade Ⅰ capsule contracture,1 case(0.46%)of grade Ⅲ capsule contracture,and 12 cases(5.58%)of nipple areola sensory impairment or reduction.A patient with grade Ⅲ capsule contracture underwent right capsulotomy and replacement of the prosthesis.Conclusions The endoscope-assisted transaxillary dual-plane breast augmentation surgery has higher safety and satisfactory,worthy of clinical promotion and application.

关 键 词：乳房成形术 内窥镜 双平面 隆乳术 腋窝入路 

分 类 号：R655.8[医药卫生—外科学]